NSG 3600 EXAM 1 || Errorless Answers 100%.
Describe nursing interventions used to break the chain of infection correct answers The 6 points
in the chain of infection: the infectious agent, reservoir, portal of exit, mode of transmission,
portal of entry, and susceptible host.
Nurses can break the chain by washing hands, staying up to date on vaccines, covering coughs
and sneezes, using necessary PPE, and practicing asepsis.
Identify situations in which hand hygiene is indicated. correct answers Moment 1 - Before
touching a patient
Moment 2 - Before a clean or aseptic procedure
Moment 3 - After a body fluid exposure risk
Moment 4 - After touching a patient
Moment 5 - After touching patient surroundings
Describe strategies for implementing CDC guidelines for standard and transmission-based
precautions when caring for patients. correct answers • Transmission-based precautions: CDC
precautions used in patients known or suspected to be infected with pathogens that can be
transmitted by airborne, droplet, or contact routes; used in addition to standard precautions
• The 2007 guidelines include a directive to don personal protective equipment (PPE) when
entering the room of a patient on contact or droplet precautions. These categories recognize that
a disease may have multiple routes of transmission.
• The three types of transmission-based precautions (airborne, droplet, or contact) may be used
alone or in combination, but always in addition to standard precautions.
Differentiate recommended techniques for medical and surgical asepsis. correct answers •
Asepsis is the absence of infection (microbes). We are responsible for always working towards
asepsis
• Medical asepsis- clean technique.
• Surgical asepsis- sterile technique
, Define and describe the purpose of the five types of nursing assessments. Initial Assessment-
correct answers • Initial (Comprehensive) Assessment- performed shortly after the patient is
admitted to a health care agency or service.
o The purpose of this assessment is to establish a complete database for problem identification
and care planning. The nurse collects data concerning all aspects of the patient's health,
establishing priorities for ongoing focused assessments and creating a reference baseline for
future comparison.
Define and describe the purpose of the five types of nursing assessments. Focused Assessment-
correct answers nurse gathers data about a specific problem that has already been identified.
o Questions include: what are your signs and symptoms? When did they start? Were you doing
anything different than usual when they started? What makes them better? Worse? Are you
taking anything for your symptoms?
o This is where we use OPQRSTU (onset, palliative factors, quality of signs/symptoms, region,
severity, timing, understanding)
Define and describe the purpose of the five types of nursing assessments. Follow-Up
Assessment- correct answers one that is conducted at regular intervals during care of the patient.
Focuses on identified health problems to monitor positive or negative changes and evaluate the
effectiveness of interventions.
Define and describe the purpose of the five types of nursing assessments. Emergency Assessment
correct answers performed when a physiologic or psychological crisis presents to identify life-
threatening problems.
Define and describe the purpose of the five types of nursing assessments.Time-Lapsed
Assessment correct answers - scheduled to compare a patient's current status to the baseline data
obtained earlier.
o Patients in residential settings (ex: nursing homes) are scheduled for periodic assessments.
Describe strategies of a general survey. correct answers • This is the first component of the
physical assessment and is aimed at the overall impression of the patient.
Describe nursing interventions used to break the chain of infection correct answers The 6 points
in the chain of infection: the infectious agent, reservoir, portal of exit, mode of transmission,
portal of entry, and susceptible host.
Nurses can break the chain by washing hands, staying up to date on vaccines, covering coughs
and sneezes, using necessary PPE, and practicing asepsis.
Identify situations in which hand hygiene is indicated. correct answers Moment 1 - Before
touching a patient
Moment 2 - Before a clean or aseptic procedure
Moment 3 - After a body fluid exposure risk
Moment 4 - After touching a patient
Moment 5 - After touching patient surroundings
Describe strategies for implementing CDC guidelines for standard and transmission-based
precautions when caring for patients. correct answers • Transmission-based precautions: CDC
precautions used in patients known or suspected to be infected with pathogens that can be
transmitted by airborne, droplet, or contact routes; used in addition to standard precautions
• The 2007 guidelines include a directive to don personal protective equipment (PPE) when
entering the room of a patient on contact or droplet precautions. These categories recognize that
a disease may have multiple routes of transmission.
• The three types of transmission-based precautions (airborne, droplet, or contact) may be used
alone or in combination, but always in addition to standard precautions.
Differentiate recommended techniques for medical and surgical asepsis. correct answers •
Asepsis is the absence of infection (microbes). We are responsible for always working towards
asepsis
• Medical asepsis- clean technique.
• Surgical asepsis- sterile technique
, Define and describe the purpose of the five types of nursing assessments. Initial Assessment-
correct answers • Initial (Comprehensive) Assessment- performed shortly after the patient is
admitted to a health care agency or service.
o The purpose of this assessment is to establish a complete database for problem identification
and care planning. The nurse collects data concerning all aspects of the patient's health,
establishing priorities for ongoing focused assessments and creating a reference baseline for
future comparison.
Define and describe the purpose of the five types of nursing assessments. Focused Assessment-
correct answers nurse gathers data about a specific problem that has already been identified.
o Questions include: what are your signs and symptoms? When did they start? Were you doing
anything different than usual when they started? What makes them better? Worse? Are you
taking anything for your symptoms?
o This is where we use OPQRSTU (onset, palliative factors, quality of signs/symptoms, region,
severity, timing, understanding)
Define and describe the purpose of the five types of nursing assessments. Follow-Up
Assessment- correct answers one that is conducted at regular intervals during care of the patient.
Focuses on identified health problems to monitor positive or negative changes and evaluate the
effectiveness of interventions.
Define and describe the purpose of the five types of nursing assessments. Emergency Assessment
correct answers performed when a physiologic or psychological crisis presents to identify life-
threatening problems.
Define and describe the purpose of the five types of nursing assessments.Time-Lapsed
Assessment correct answers - scheduled to compare a patient's current status to the baseline data
obtained earlier.
o Patients in residential settings (ex: nursing homes) are scheduled for periodic assessments.
Describe strategies of a general survey. correct answers • This is the first component of the
physical assessment and is aimed at the overall impression of the patient.
