QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
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- breaks chain of infection through hand hygiene and PPE.
- clinical practice or guidelines used with clients
Tier one (routine practices)
(gowns, gloves, masks, eyewear, other PPE,
CDC term
handwashing/ sanitizing, linen discarding, sharps
discarding)
spread by direct or indirect; gloves, gowns, HH; private
Tier Two Isolation Precautions:
Contact room or cohort; MRSA, C. difficle (hand san), infection
(major wound infection, GI, skin, respiratory infection);
spread by coughing, sneezing or talking; gloves, gowns,
Tier Two Isolation Precautions: mask (within 2m), HH, eyewear (splash risk); private
Droplet
room or cohort; rubella, influenza, pertussis, mumps,
diphtheria, pneumonia; private room
spread by airborne droplets; private room (door closed)
Tier Two Isolation Precautions:
Airborne negative pressure; gown, N95 mask, gloves, eyewear,
HH; measles, varicella, shingles, TB
Patient's body image may be altered as a result of
infectious process; may feel unclean, rejected, lonely,
guilty; infection prevention practises further intensify
these feelings
Family: Before isolation measures are instituted, patient
Psychological impacts of
isolation and family must understand nature of disease, purpose
of isolation and steps for carrying out precautions;
family participating, explain how infectious organisms
can be transmitted and difference between
contaminated and clean objects
Explain risk for depression or loneliness; visiting family
members should be taught principles of isolation and
avoid expressions or actions that can convey
revulsion, fear or disgust; ways to provide meaningful
, stimulation should also be discussed
mobility the quality or state of being able to move about freely
immobility state of being unable to move
-Brings body parts into position that promotes optimal balance
body alignment/posture and body function
-Person maintains balance as long as line of gravity
passes through center of gravity and base of support
body balance occurs with a low center of gravity and a wide, stable base of
support
force that occurs in a direction opposite to movement, increases
skin and tissur damage for potential injury.
Friction Caused by gravity and shear (force exerted on skin when it
remains still)
- Can cause pressure ulcers
Applied science that designs and arranges workplace settings in
Ergonomic strategies a way that people can interact more effectively with objects
encountered in the environment.
- principles of body mechanics, client, and nurse safety,
decreases work effort.
the proper use of the body to facilitate lifting and moving and
body mechanics prevent injury.
- good posture, balance, and the use of the strongest muscles to
do majority of work.
, - The wider the base of support, the greater the stability.
- The lower the center of gravity, the greater the stability.
Principles of Body Mechanics - Face the direction of movement, prevents abnormal twisting of
the spine.
ears (1) in line with shoulders (2), shoulders in line with
hips (3); tighten stomach (4), push buttocks (5) back
while keeping body weight over heels (6)
activity tolerance type and amount of exercise or work that a person is able to
perform
Deconditioning the loss of muscle strength from inactivity
Decreased ability to independently perform activities
Functional decline of independent living or instrumental activities of daily
living, such as dressing, bathing, shopping, and bill
paying.
Developmental changes (newborn-elderly)
Behavioral aspects: physical activity is reported to
reduce stress, patients knowledge of exercise and
activity, barriers to program of exercise, current
exercise habits developing exercise program customized
Factors influencing activity or
to fit patient's needs and follow up support/assistance
exercise
Environmental issues: work sites (lack of time),
schools (mandated exercise in schools; increased
child obesity) and community (supports of physical
fitness; collaborative effort w/ government,
public agencies etc. )
Cultural and ethnic influences: religious fasting
periods, a chronic disease associated
- Disability
- Injury
Factors influencing - Prolonged bed-rest
immobility/mobility - Chronic illness
- Age/development
, - Mentally review the transfer steps before beginning
the procedure; this ensures both your safety and
that of the patient.
- Prior to transferring a patient, perform a functional
assessment to determine the patient's mobility,
strength, and the assistance that he or she is able to
offer during transfer. Stand on the patient's weak side
when assisting
- Determine the amount and type of assistance
required for transfer, including the type of transfer
equipment and the number of personnel to safely
transfer and prevent harm to the patient and
health care providers
- Use mechanical lifts, friction-reduction devices, slide
Avoiding injury
boards, and other handling aids available in the
workplace; when using mechanical lifts, a second
person is always required to assist
- Raise the side rail on the side of the bed opposite
where you are standing to prevent the patient
from falling out of bed on that side.
- Arrange equipment (e.g., intravenous lines, feeding
tube, in-dwelling catheter) in such a way that it does
not interfere with the positioning or transfer process.
- Evaluate the patient for correct body alignment and pressure
risks after the transfer.
- Make sure that all personnel understand how the
equipment functions before it is used.
- Educate patients about how equipment functions, to
reduce their anxiety and enlist their cooperation
- Many health care agencies have a no-lift policy, in
which manual lifting of the whole or a large part of
the weight of the patient by a health care worker is
prohibited, except in exceptional or life-threatening
situations. Some agencies also have lift teams
- Ergonomics assessment protocol for health care
environments; "after-action" review that allows the
health care team to apply knowledge about moving