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NUR |/ 215 |/Exam |/ 2 |/QUESTIONS |/WITH
|/ANSWERS
A |/nurse |/is |/caring |/for |/a |/client |/who |/has |/severe |/acute |/respiratory |/syndrome |/(SARS). |/The |/nurse |/knows |/that |/health |/care |/professional |/are |/required |/to |/report |/communicable |/and |/infectious |/diseases. |/Which |/of |/the |/following |/illustrate |/the |/rationale |/for |/reporting? |/(select |/all |/the |/apply) |/ A. |/Planning |/and |/evaluating |/control |/and |/prevention |/strategies |/ B. |/Determining |/public |/health |/priorities |/ C. |/Ensuring |/proper |/medical |/treatment |/ D. |/Identifying |/endemic |/disease |/ E. |/Monitoring |/for |/common-source |/outbreaks |/- |/CORRECT |/ANSWERS |/✔✔A. |/Planning |/and |/evaluating |/control |/and |/prevention |/strategies |/ B. |/Determining |/public |/health |/priorities |/ D. |/Identifying |/endemic |/disease |/ E. |/Monitoring |/for |/common-source |/outbreaks A |/nurse |/is |/caring |/for |/a |/client |/who |/has |/had |/a |/cough |/for |/ 3 |/weeks |/and |/is |/beginning |/to |/cough |/up |/blood. |/The |/client |/has |/manifestations |/of |/which |/of |/the |/following |/conditions? |/
A. |/allergic |/reaction |/ B. |/ringworm |/ C. |/systemic |/lupus |/erythematosus |/ D. |/Tuberculosis |/- |/CORRECT |/ANSWERS |/✔✔D. |/Tuberculosis A |/nurse |/is |/caring |/for |/a |/client |/who |/repots |/a |/severe |/throat, |/pain |/when |/swallowing, |/and |/swollen |/lymph |/nodes. |/The |/client |/has |/manifestations |/of |/which |/of |/the |/following |/conditions? |/ A. |/prodromal |/ B. |/ringworm |/ C. |/convalescence |/ D. |/Illness |/- |/CORRECT |/ANSWERS |/✔✔illness A |/charge |/nurse |/is |/reviewing |/with |/a |/newly |/hired |/nurse |/the |/difference |/in |/manifestations |/of |/a |/localized |/vs |/a |/systemic |/infection. |/Which |/of |/the |/following |/are |/manifestations |/of |/a |/systemic |/infection. |/(select |/all |/that |/apply) |/ A. |/Fever B. |/Malaise C. |/Edema |/
What |/is |/an |/infection? |/- |/CORRECT |/ANSWERS |/✔✔occurs |/when |/a |/pathogen |/is |/present |/and |/leads |/to |/a |/chain |/of |/events What |/is |/the |/best |/prevention |/against |/HAIs? |/- |/CORRECT |/ANSWERS |/✔✔Hand |/hygiene iatrogenic |/infections |/- |/CORRECT |/ANSWERS |/✔✔result |/from |/diagnostic |/or |/therapeutic |/procedures Transmission |/Chain |/of |/Infection |/- |/CORRECT |/ANSWERS |/✔✔1. |/Causative |/agent |/
- |/Reservoir |/
- |/Portal |/of |/exit |/
- |/Mode |/of |/transmission |/
- |/Portal |/of |/entry
- |/Susceptible |/host Transmission |/chain |/of |/infection |/example |/of |/MRSA |/and |/the |/Wrestler |/- |/CORRECT |/ANSWERS |/✔✔1. |/Causative |/agent- |/MRSA |/
- |/Reservoir- |/Athlete |/
- |/Portal |/of |/exit- |/Contact |/w/ |/mat
- |/Mode |/of |/transmission- |/skin |/contact |/w/ |/gear
- |/Portal |/of |/entry- |/nose, |/skin |/lesion, |/mouth
- |/Susceptible |/host- |/broken |/skin, |/compromised, |/brewed |/skin What |/is |/the |/reservoir |/in |/the |/chain |/of |/infection? |/- |/CORRECT |/ANSWERS |/✔✔where |/pathogens |/can |/live |/and |/multiply, |/ ex. |/human, |/animal, |/food, |/or |/organic |/matter what |/is |/the |/portal |/of |/exit |/in |/the |/chain |/of |/infection? |/- |/CORRECT |/ANSWERS |/✔✔where |/the |/pathogen |/can |/leave |/the |/reservoir |/and |/spread |/ ex |/body |/fluids, |/respiratory, |/GI |/tract, |/skin, |/MM What |/are |/the |/stages |/of |/an |/infection? |/- |/CORRECT |/ANSWERS |/✔✔1. |/Incubation-Interval |/between |/the |/pathogen |/entering |/the |/body |/and |/presentation |/of |/the |/first |/finding
- |/Prodromal |/stage-Interval |/from |/onset |/to |/more |/distinct |/findings, |/the |/pathogen |/multiples |/during |/this |/time
- |/Illness |/stage- |/Interval |/when |/findings |/specific |/to |/the |/infection |/occur
- |/Convalescence- |/Interval |/when |/acute |/findings |/disappear, |/total |/recovery |/taking |/days |/to |/months
Cough |/etiquette |/- |/CORRECT |/ANSWERS |/✔✔Using |/facial |/tissues |/to |/contain |/respiratory |/secretions |/& |/prompt |/disposal Weaning |/surgical |/mask |/when |/coughing |/to |/minimize |/contamination |/of |/surrounding |/area Turning |/head |/when |/coughing |/and |/staying |/a |/minimum |/distance |/of |/ 3 |/feet |/away |/from |/others Performing |/hand |/hygiene |/after |/contact |/with |/respiratory |/secretions |/or |/contaminated |/objects standard |/precautions |/(tier |/1) |/- |/CORRECT |/ANSWERS |/✔✔Protect |/against |/the |/spread |/of |/infection |/through |/blood, |/body |/fluids, |/mucous |/membranes |/and |/non-intact |/skin Must |/be |/used |/for |/all |/patients Applies |/to |/all |/body |/fluids |/except |/sweat, |/non-intact |/skin, |/and |/MM Includes |/hand |/hygiene, |/PPE, |/disinfection, |/sharps |/injury |/prevention, |/safe |/injection |/practices, |/cough |/etiquette |/and |/waste |/management
Masks, |/eye |/protection, |/and |/face |/shields |/if |/possibility |/of |/body |/fluids |/splashing Hand |/hygiene |/after |/removal |/of |/gloves Clean |/all |/client |/care |/equipment Contact |/transmission |/precautions |/- |/CORRECT |/ANSWERS |/✔✔Precautions |/to |/protect |/visitors |/and |/caregivers |/when |/they |/are |/within |/3ft RSV, |/shigella, |/enteric |/diseases, |/wound |/infection, |/impetigo, |/scabies, |/MRSA Private |/room Gloves |/and |/gowns Disposal |/of |/infectious |/dressing |/in |/single |/non-porous |/bag Droplet |/Transmission |/Precautions |/- |/CORRECT |/ANSWERS |/✔✔Droplets |/larger |/than |/5mcg |/and |/can |/travel |/3-6ft |/from |/the |/client
Clients |/should |/wear |/a |/mask |/when |/outside |/of |/room Positive |/pressure |/vs |/negative |/pressure |/rooms |/- |/CORRECT |/ANSWERS |/✔✔ Risk |/factors |/for |/infection |/- |/CORRECT |/ANSWERS |/✔✔1. |/Inadequate |/hand |/hygiene
- |/Immunocompromised
- |/Recent |/surgery
- |/Break |/in |/skin
- |/Indwelling |/device
- |/Smoking |/or |/alcohol |/consumption
- |/Older |/adults
- |/Poor |/oxygenation |/or |/circulation
- |/Clients |/with |/poor |/personal |/hygiene
- |/Stress |/or |/sleep |/deprivation A |/nurse |/is |/performing |/mouth |/care |/for |/a |/client |/who |/is |/unconscious. |/Which |/of |/the |/following |/actions |/should |/the |/nurse |/take? |/ A. |/Turn |/the |/clients |/head |/to |/the |/side |/
B. |/place |/two |/fingers |/in |/the |/client's |/mouth |/to |/open |/it C. |/Brush |/the |/client's |/teeth |/once |/per |/day |/ D. |/Inject |/a |/mouth |/rinse |/into |/the |/center |/of |/the |/clients |/mouth |/- |/CORRECT |/ANSWERS |/✔✔A. |/Turn |/the |/clients |/head |/to |/the |/side A |/nurse |/is |/instructing |/a |/client |/who |/has |/diabetes |/mellitus |/about |/footsore. |/Which |/of |/the |/following |/guidelines |/should |/the |/nurse |/include. |/Select |/all |/that |/apply |/ A. |/Inspect |/the |/feet |/daily |/ B. |/Use |/moisturizing |/lotion |/on |/the |/feet |/ C. |/Wash |/the |/feet |/with |/warm |/water |/and |/let |/them |/air |/dry D. |/Use |/over-the-counter |/products |/to |/treat |/abrasions |/ E. |/Wear |/cotton |/socks |/- |/CORRECT |/ANSWERS |/✔✔A. |/Inspect |/the |/feet |/daily |/ B. |/Use |/moisturizing |/lotion |/on |/the |/feet |/(not |/in-between |/toes) E. |/Wear |/cotton |/socks A |/nurse |/is |/planning |/care |/for |/a |/client |/who |/develops |/dyspnea |/and |/feels |/tired |/after |/completing |/morning |/care. |/Which |/of |/the |/following |/guidelines |/should |/the |/nurse |/include. |/Select |/all |/that |/apply |/ A. |/Schedule |/rest |/periods |/during |/morning |/care |/
What |/are |/ 5 |/benefits |/of |/good |/hygiene? |/- |/CORRECT |/ANSWERS |/✔✔1. |/promotes |/comfort
- |/improves |/self |/body |/image
- |/decreases |/infection |/and |/disease
- |/promotes |/autonomy |/
- |/social |/interaction |/or |/relaxation What |/roles |/does |/a |/nurse |/play |/in |/hygiene? |/- |/CORRECT |/ANSWERS |/✔✔Assess |/self |/care |/abilities Provide |/assistance |/with |/ADLS Promote |/self |/care |/in |/ADLS Delegate |/appropriate |/parts |/for |/hygiene |/care What |/factors |/can |/affect |/a |/clients |/view |/on |/hygiene? |/- |/CORRECT |/ANSWERS |/✔✔Cultural |/preferences |/ Socioeconomic |/status |/ Knowledge |/level |/ Physical |/factors |/include |/pain, |/limited |/mobility, |/sensory, |/cognitive |/or |/emotional |/impairments When |/is |/hygiene |/routinely |/done? |/- |/CORRECT |/ANSWERS |/✔✔Hourly |/rounds-Offer |/help |/with |/self-care |/needs
Early |/morning |/care-On |/awakening, |/wash |/face, |/hands |/and |/mouth |/care AM |/care-After |/breakfast, |/bathing, |/toileting, |/hair, |/skin |/and |/bed |/making PM |/care-Toileting, |/handwashing, |/oral |/care, |/readying |/for |/visitors HS |/care-Prior |/to |/sleep, |/relaxation, |/activism |/reading |/environment |/to |/facilitate |/sleep What |/are |/the |/different |/types |/of |/baths |/administered |/in |/the |/hospital |/setting? |/- |/CORRECT |/ANSWERS |/✔✔Assist |/bath- |/Areas |/hard |/to |/reach Complete |/bath Partial |/bath-Bathe |/only |/areas |/absolutely |/necessary |/include |/peritoneal, |/a |/complete |/bath |/may |/be |/too |/stressful Towel |/bath Bag/ |/package
Avoid |/alcohol |/products Diabetes-Should |/be |/cared |/for |/by |/a |/qualified |/personnel |/to |/prevent |/injury |/and |/evaluate |/feet important |/factors |/while |/preforming |/scalp |/care |/- |/CORRECT |/ANSWERS |/✔✔Essential |/component |/of |/personal |/hygiene brushing/combing |/hair- |/Removes |/tangles, |/stimulates |/the |/scalp |/and |/circulation Use |/of |/soft |/bristle |/to |/prevent |/trauma important |/factors |/of |/nail |/care |/- |/CORRECT |/ANSWERS |/✔✔Observe |/size, |/shape, |/and |/condition |/of |/nails |/and |/nail |/beds Check |/from |/cracking, |/clubbing, |/and |/fungus Do |/not |/soak |/due |/to |/infection File |/nails |/instead |/of |/cutting
Acute |/pain |/characteristics |/- |/CORRECT |/ANSWERS |/✔✔protective, |/temporary, |/usually |/self-limiting |/has |/a |/direct |/cause Physiologic |/response |/(sympathetic |/nervous |/system) |/tachycardia, |/hypertension, |/anxiety, |/diaphoresis, |/muscle |/tension Behavioral |/response- |/grimacing, |/moaning, |/flinching, |/and |/guarding Management |/aims |/to |/treat |/cause Chronic |/pain |/characteristics |/- |/CORRECT |/ANSWERS |/✔✔ongoing |/or |/recurs |/frequently, |/lasting |/longer |/than |/ 6 |/months Physiological |/responses |/do |/not |/affect |/vital |/signs, |/clients |/can |/have |/depression, |/fatigue |/and |/a |/decreased |/level |/of |/functioning Management |/aims |/to |/treat |/symptomatic |/pain idiopathic |/pain |/- |/CORRECT |/ANSWERS |/✔✔a |/chronic |/pain |/w/o |/a |/known |/cause ex. |/migraine |/or |/joint
checklist |/of |/opioid |/administration |/- |/CORRECT |/ANSWERS |/✔✔Allergies Respiratory, |/pulse, |/and |/blood |/pressure |/status Height |/and |/weight Addiction |/considerations LOC What |/should |/you |/monitor |/after |/opioid |/administration? |/- |/CORRECT |/ANSWERS |/✔✔urinary |/retention, |/constipation, |/orthostatic |/hypotension Risk |/for |/falls Safety- |/no |/driving, |/take |/with |/foods, |/safe |/disposal, |/watch |/to |/nausea/vomiting, |/constipation who |/is |/at |/risk |/for |/under |/treatment |/of |/pain |/- |/CORRECT |/ANSWERS |/✔✔infants, |/children, |/older |/adults, |/or |/those |/with |/a |/substance |/abuse |/disorder
what |/factors |/influence |/the |/under |/treatment |/of |/pain? |/- |/CORRECT |/ANSWERS |/✔✔cultural |/and |/societal |/attitudes lack |/of |/knowledge fear |/of |/addiction exaggerated |/fear |/of |/respiratory |/depression What |/factors |/affect |/pain |/experience? |/- |/CORRECT |/ANSWERS |/✔✔Infants |/can |/not |/verbalize Older |/adults |/have |/multiple |/pathologies |/that |/cause |/pain |/and |/loss |/of |/function Fatigue- |/increase |/pain |/sensitivity Genetic |/sensitivity Cognitive |/function Prior |/experiences
