Chp 24 & 29

Question 1

What does SBAR stand for? Why is it used?

Answer 1

Situation, Background, Assessment, and Recommendation

Used for communication/intervention, standardization of care

Question 2

Assertive communication

Answer 2

direct communication

Question 3

What is the primary nursing diagnostic label used to describe a patient with limited or no ability to communicate verbally?

Answer 3

Impaired verbal communication
(can be used in many communication situations, ex. impaired verbal communication related to cultural differences; impaired verbal communication related to hearing loss)

Question 4

Therapeutic communication techniques

Answer 4

specific responses that encourage the expression of feelings and ideas and convey acceptance and respect.

Question 5

Active listening

Answer 5

being attentive to what a patient is saying both verbally and nonverbally

Question 6

What nonverbal skills facilitate attentive listening? (SOLER)

Answer 6

Sit facing the patient
Open position
Lean toward the patient
Establish eye contact
Relax

Question 7

What are multiple factors that influence susceptibility to infection?

Answer 7

AIDS
Diabetes
Smoking
Bad nutritional habits
Trauma
Stress
Treatments
**When a person has multiple disease processes it makes them more susceptible to infection

Question 8

What are common inflammation response symptoms?

Answer 8

swelling, redness, heat, pain or tenderness, and loss of function in the affected body part.

Question 9

What is the chain of infection?

Answer 9

• an infectious agent or pathogen
• a reservoir or source for pathogen to grow
• a port of exit from the reservoir
• a mode of transmission
• a port of entry to a host
• a susceptible host

Question 10

What are common reservoirs where microorganisms survive, multiply, and await transfer to a susceptible host?

Answer 10

Food
Oxygen
Water
Temperature ranges
pH rang of 5.0-7.0
Light

Question 11

What are some examples of portals of exit/entry?

Answer 11

blood, skin and mucous membranes, respiratory tract, GU tract, GI tract

Question 12

What is the major route of transportation of bacteria?

Answer 12

unwashed hands

Question 13

Nosocomial

Answer 13

a disease originating in a hospital

Question 14

What are some nursing diagnosis that often apply to patients with infection?

Answer 14

• Risk for infection
• Impaired oral mucous membrane
• Risk for impaired skin integrity
• Impaired tissue integrity

Question 15

What are the four types of transmission based precautions?

Answer 15

Airborne precautions (droplet nuclei smaller than 5 microns)
Droplet precautions (droplets larger than 5 microns; being within 3 ft of the patient)
Contact precautions (direct contact)
Protective environment

Question 16

What type of infection/conditions require airborne precautions and what are the protective measures?

Answer 16

Measles, chickenpox, TB

- private room, negative-pressure, mask or respiratory protection device, N95 respirator (depending on condition)

Question 17

What type of infection/conditions require droplet precautions and what are the protective measures?

Answer 17

diphtheria, rubella, pneumonia or scarlet fever in infants and young children, pertussis, mumps, sepsis
- private room or cohort patients, mask or respirator required (depending on the condition)

Question 18

What type of infection/conditions require contact precautions and what are the protective measures?

Answer 18

infection with multi drug resistant organisms such as VRE and MRSA, C-dif, major wound infections, immunocompromised patients
- private room or cohort patients, gloves, gowns

Question 19

What type of infection/conditions require protective environment precautions and what are the protective measures?

Answer 19

stem cell transplants

- private room, positive airflow, HEPA filtration for incoming air

Question 20

In what order do we don PPE?

Answer 20

Gown, mask, googles/face shield, gloves

Question 21

in what order do we remove PPE?

Answer 21

gloves, googles/face shield, gown, mask