Exam 1 - Potter Ch: 1, 5, 6, & 14 Flashcards Preview

Nursing 103 > Exam 1 - Potter Ch: 1, 5, 6, & 14 > Flashcards

Flashcards in Exam 1 - Potter Ch: 1, 5, 6, & 14 Deck (31):
1

List the Types of Precautions:

Standard, Transmission based, Droplet, and Contact

2

What is a Transmission based precaution?

Airborne: use for pts that have illness transmitted by airborne droplet nuclei (

3

How often do negative air pressure rooms exchange air?

6-12 x/hour

4

What are Standard Precautions?

Basic level of infection control & prevention used at all times. Used for every patient. Applies to: blood, bodily fluids, secretions, excretions (except sweat)

5

What is Droplet precaution?

Pts with serious illness transmitted by large particle droplets (> 5 microns). Door may remain open - transmission is limited to close contact (3 ft.) Ex: pertussis, influenza, rhinovirus, Group A Strep

6

What is Contact precaution?

Pts with a serious infection transmitted by direct patient contact. When possible private room should be used. Ok to have door open no need for masks transmission is limited to close contact

7

The nurse is often the first HCW to notice & discover symptoms of infection. Your duty is?

Begin to put in place strategies to prevent the spread of infection to protect yourself & others. Notify MD. Know your hospital's policies & procedures to address the care of these patients. A dr's order is NOT required to isolate pt. Contact the Infection Control department.

8

What is the chain of infection?

Infectious agent -> reservoir -> portal of exit -> transmission -> portal of entry -> host susceptibility -> (back to infectious agent)

9

What is the Nurses Role?

Hand hygiene, use of standard precautions, patient education, use of safety devices, cleaning & disinfection practices, removal of unnecessary invasive devices, use of "bundle strategies" for infection prevention, and fit for duty.

10

What is the most effective way to prevent infection?

Hand Hygiene!!!

11

Medical Asepsis is a _________ technique.

Clean

12

Surgical Asepsis is a ________ technique.

Sterile

13

What is the order to apply "donning" PPE?

Gown, mask, goggles, gloves

14

What is the order to remove "doffing" PPE?

Gloves, goggles, gown, mask - (don't forget to wash hands after everything is removed)

15

To establish malpractice, the plaintiff must prove:

The nurse owed a duty to the patient, the nurse breached that duty, injury occurred because of the breach of duty, damages are accrued as a result of the injury.

16

Documentation as a nurse includes:

Patient assessments & reassessments, interventions, and evaluations

17

Always use objective statements when writing documentation. True or False?

True

18

What situations does a minor have consent for medical treatment?

1. When they are married or they are a parent.
2. Pregnancy (excluding abortions)
3. Venereal disease
4. Drug or substance abuse

19

It is mandatory for health care providers to report:

Abuse (sexual, child, or elder), rape, gunshot wounds, attempted suicide, certain communicable diseases, unsafe or impaired professionals.

20

Ethical Principles?

Autonomy, Justice, Nonmaleficience , Beneficence, Fidelity

21

Autonomy?

Commitment to include patients in decisions

22

Justice

Being fair

23

Nonmaleficience

Avoidance of harm or hurt

24

Beneficence?

Taking positive actions to help others

25

Fidelity?

Agreement to keep promises

26

Deontology?

Defines actions as right or wrong

27

Utilitarianism?

Proposes that the value of something is determined by its usefulness

28

Feminist Ethics?

Focuses on the inequality between people

29

Ethics of Care?

Emphasizes the importance of understanding relationships, especially as they are revealed in personal narratives

30

How to process an ethical dilemma?

1. Ask, "is this an ethical dilemma?" 2. Gather all relevant information 3. Clarify values 4. Verbalize the problem 5. Identify possible courses of action 6. Negotiate a plan 7. Evaluate the plan

31

List the equipment that is part of: Personal Protective Equipment (PPE)

Fluid resistant cover gowns, disposable gloves, makes, eye protection, (and shoe covers in OR)