Quiz 3

Question 1

What are the modes of transmission?

Answer 1

contact (direct and Indirect)
droplet
airborne
vector borne

Question 2

What is direct contact and indirect contact?

Answer 2

person to person

object to person

Question 3

How are droplets transmitted?

Answer 3

sneezing, coughing, talking

Question 4

How is airborne transmitted?

Answer 4

sneezing, coughing

Question 5

How is vector borne transmitted ?

Answer 5

With animals or insects as intermediaries

Question 6

How often should hand hygiene be done?

Answer 6

always

before, after, in between patients

Question 7

Where is C.diff found? How can a nurse be sure to not get contaminated?

Answer 7

found through the stool

wash hands with soap and water

Question 8

What are expected findings in the assessment of generalized or systemic infection?

Answer 8

fever
increased pulse and resp. rate
fatigue
enlarged lymph nodes

Question 9

What is the difference between localized and systemic infection?

Answer 9

localized: only one part of body or organ

systemic: within the bloodstream

Question 10

What is inflammation?

Answer 10

body’s local response to injury or infection

Question 11

What are the manifestations localized inflammatory response? What should the nurse do?

Answer 11

heat
redness
swelling
pain
loss of function

do not ignore, intervene

Question 12

What are standard precautions?

Answer 12

precautions against body fluids, non-intact skin, and mucous membranes

Question 13

What do standard precautions require?

Answer 13

hand hygiene
- soap and water (spores and C.diff)
- antimicrobial soap (blood, body fluids)
- alcohol (microorganisms)

eye protections

clean gloves

Question 14

What are airborne precautions?

Answer 14

precautions against droplet infections

Question 15

What do airborne precautions require?

Answer 15

• private room
• masks
• negative pressure airflow exchange in room

Question 16

What are droplet precautions?

Answer 16

precautions against droplets that can travel 3ft - 6ft

Question 17

What do droplet precautions require?

Answer 17

• private room or room with other patients who have same disease
• masks

Question 18

What is the order of donning PPE?

Answer 18

don
- gown
- mask
- goggles
- gloves

Question 19

What is the order of doffing PPE? Why?

Answer 19

doff
- gloves
- goggles
- gown
- mask
- hand hygiene

remove the dirtiest first

Question 20

Define cleaning

Answer 20

removal of organic/inorganic materials

Question 21

Define disinfection

Answer 21

elimination of microorganisms except bacterial spores

Question 22

Define sterilization

Answer 22

complete elimination of microorganisms, including spores

Question 23

What should a nurse do to ensure safety for the patient?

Answer 23

assess client and their environment

hourly rounding

handoff communication @ bedside

ISBARR

Rapid Response Team

Question 24

If an injury occurs with a patient or a visitor, what should the nurse do?

Answer 24

incident report
- only state facts and what you saw

assess the patient, take vital signs, and see level or harm

notify provider, charge nurse, supervisor

Question 25

What should you do if you stick yourself with a needle?

Answer 25

first wash the area with soap and water, then let someone know

Question 26

What should you do if you get something in your eye?

Answer 26

go to eyewash station

Question 27

How does a nurse keep older clients from picking on their IV/catheter?

Answer 27

keep out of sight from client

Question 28

What are the types of unexpected events?

Answer 28

near miss client safety event sentinel event

Question 29

What is a near miss event?

Answer 29

didn't happen, but could have happened

Question 30

What is a sentinel event?

Answer 30

events that should never happen

Question 31

What are client factors that create a risk for injury?

Answer 31

- developmental level - lifestyle choices - cognitive, mobility, communication, sensory impairment - knowledge of common safety precautions

Question 32

How can a nurse prevent falls?

Answer 32

fall risk assessment put bed/chair alarm for patients who constantly get up

Question 33

Which patients are at higher risk for falls?

Answer 33

patients who have to pee a lot and that are mobile

Question 34

Is a patient with a sore on their leg at high risk for falls?

Answer 34

no

Question 35

What are some safety precautions for older clients in hospital at night?

Answer 35

night light no loose rugs or cords rails in bathroom to assist

Question 36

Which patients should be put closer to the nurses station?

Answer 36

high risk confused paralyzed seizures

Question 37

What are restraints used for? Do they require a provider's order?

Answer 37

to protect patient and staff from harm when least restrictive measures do not work yes

Question 38

What should restraints not be used for?

Answer 38

- convenience of staff - punishment of client - clients who are are physically/mentally unstable

Question 39

What should restraints do?

Answer 39

- never interfere with treatment - restrict movement as little as necessary - fit properly - be discreet - be easy to remove

Question 40

Why do restraints have padding for the bony prominences?

Answer 40

to prevent injuries

Question 41

Why is a quick release knot done for restraints?

Answer 41

for emergency situations

Question 42

What least restrictive measures should be done before restraints?

Answer 42

- get pt a sitter - encourage family to stay - provide distractions - reorient them

Question 43

What is the fire response following the RACE sequence?

Answer 43

Rescue: patients first Alarm: fire alarm Contain: fire, shut off any sources of oxygen, close doors Extinguish: fire extinguisher

Question 44

How do you use a fire extinguisher?

Answer 44

PASS Pull Aim Squeeze Sweep

Question 45

What is an EHR?

Answer 45

electronic health record overall

Question 46

What is an EMR?

Answer 46

electronic medication record single visit

Question 47

Why is documentation in a chart/medical record important?

Answer 47

it is the legal record of care shows facts can compare to baseline data

Question 48

What are the different formats of documentation?

Answer 48

flowcharts narrative problem-oriented SOAP SOAPIE PIE Focus charting (DAR) charting by exception

Question 49

What are flowcharts?

Answer 49

assessments

Question 50

What is narrative documentation?

Answer 50

sequence of events

Question 51

What is problem-oriented documentation?

Answer 51

organized by problem/diagnosis

Question 52

What is SOAP documentation?

Answer 52

subjective objective assessment plan

Question 53

What is SOAPIE documentation?

Answer 53

subjective objective assessment plan intervention evaluation

Question 54

What is PIE documentation?

Answer 54

problem intervention evaluation

Question 55

What is focus charting (DAR) documentation?

Answer 55

data action review

Question 56

What is charting by exception documentation?

Answer 56

focuses on documenting deviations

Question 57

If a nurse is going to give medication for pain, what should they do?

Answer 57

- assess - document pt pain level from scale of 1-10 - give medication and document reassess pain after

Question 58

If a patient is not breathing well, what should the nurse do first?

Answer 58

put the head of the bed up

Question 59

If a patient is connected to oxygen, what should a nurse do for their safety?

Answer 59

make sure they do not use anything electric or combustible

Question 60

What should be documented for a wound dressing?

Answer 60

appearance of drainage odor discharge type of dressing used sterile or aseptic

Question 61

What should be documented when taking vital signs?

Answer 61

location (specific site) how it was taken machines used

Question 62

What do vital signs include?

Answer 62

BP HR O2 Pain assessment Temp Pulse Respirations