Clinical Reasoning and Infection Control in Nursing
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Questions and Answers

What is clinical reasoning?

  • A method of delegating tasks
  • A way of thinking that helps nurses make decisions (correct)
  • A form of patient-centered documentation
  • A type of therapeutic intervention

How does a registered nurse utilize clinical reasoning in patient care?

  • Delegating tasks to non-licensed staff
  • Evaluating patient outcomes (correct)
  • Identifying patient problems (correct)
  • Developing intervention strategies (correct)

What are the steps of the clinical decision-making process?

  • Goal setting, planning, implementation, evaluation, and documentation
  • History-taking, diagnosis, treatment, and discharge
  • Assessment, diagnosis, planning, intervention, and evaluation (correct)
  • Diagnosis, treatment, discharge, follow-up, and evaluation

Critical thinking in nursing assessment involves:

<p>Applying previous knowledge to new situations (B), Evaluating data to identify potential risks (D)</p> Signup and view all the answers

What are the components of a 3-part nursing diagnostic statement?

<p>Nursing diagnosis, related factors, defining characteristics (B)</p> Signup and view all the answers

Which of the following is a sign of a localized infection?

<p>Redness at the wound site (A)</p> Signup and view all the answers

Which are signs of systemic infection?

<p>Tachycardia (A), Lymph node enlargement (B), Fever (D)</p> Signup and view all the answers

Which action breaks the chain of infection?

<p>Proper hand hygiene (D)</p> Signup and view all the answers

When should standard precautions be applied?

<p>For all patient interactions (B)</p> Signup and view all the answers

Which of the following are included in sterile technique?

<p>Using sterile gloves (A), Maintaining a sterile field (B)</p> Signup and view all the answers

What are essential components of a nursing concept map?

<p>Patient's primary complaints, nursing diagnoses, expected outcomes (B)</p> Signup and view all the answers

Which nursing interventions are preventive for healthcare-associated infections?

<p>Proper hand hygiene (A), Regular patient education on hygiene (B)</p> Signup and view all the answers

How does poor nutrition affect the infectious process?

<p>Weakens immune response (D)</p> Signup and view all the answers

What factors must a nurse consider when restraining a patient?

<p>The need for frequent reassessment (A), Restraints should only be used as a last resort (B), Clear documentation of reasons for restraints (C)</p> Signup and view all the answers

Which are components of the nursing process?

<p>Assessment, planning, implementation, evaluation (C)</p> Signup and view all the answers

Which signs indicate a fever related to systemic infection?

<p>Elevated body temperature (A), Increased heart rate (D)</p> Signup and view all the answers

Which actions prevent cross-contamination?

<p>Using a sterile technique (A), Changing gloves between patient tasks (B)</p> Signup and view all the answers

What is the purpose of documenting infection control measures?

<p>To provide accurate patient information and track progress (A)</p> Signup and view all the answers

Study Notes

Clinical Reasoning

  • A way of thinking that helps nurses make decisions
  • Nurses use it to:
    • Identify patient problems
    • Develop intervention strategies
    • Evaluate patient outcomes
  • Steps:
    • Assessment
    • Diagnosis
    • Planning
    • Intervention
    • Evaluation

Critical Thinking in Nursing

  • Applying previous knowledge to new situations
  • Evaluating data to identify potential risks

Nursing Diagnosis Statements

  • 3 parts:
    • Nursing diagnosis
    • Related factors
    • Defining characteristics

Infection Control

  • Localized infection: Signs of redness at the wound site
  • Systemic infection: Signs include:
    • Tachycardia
    • Fever
    • Lymph node enlargement
  • Breaking the chain of infection:
    • Proper hand hygiene
  • Standard precautions: Applied for all patient interactions
  • Sterile Technique:
    • Using sterile gloves
    • Maintaining a sterile field
    • Keeping hands below the waist

Nursing Concept Maps

  • Essential components:
    • Patient's primary complaints
    • Nursing diagnoses
    • Expected outcomes

Preventing Healthcare-Associated Infections

  • Proper hand hygiene
  • Regular Patient education on hygiene
  • Monitor patient vitals

Factors Affecting Infection

  • Poor nutrition: Can weaken immune response

Restraining a Patient

  • Use as a last resort
  • Frequent reassessment
  • Clear documentation of reasons for restraints

The Nursing Process

  • Components:
    • Assessment
    • Planning
    • Implementation
    • Evaluation

Fever and Systemic Infection

  • Signs of fever include:
    • Increased heart rate
    • Elevated body temperature

Preventing Cross-Contamination

  • Use a sterile technique
  • Change gloves between patient tasks
  • Don't touch sterile items with unwashed hands

Importance of Documentation

  • Provides accurate patient information and tracks their progress

Isolation Precautions

  • To protect patients and healthcare workers
  • To reduce pathogen transmission

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Description

This quiz covers essential concepts of clinical reasoning, critical thinking, nursing diagnosis statements, and infection control. It's designed for nursing students to assess their understanding of decision-making processes and infection management in patient care. Test your knowledge on important nursing practices and protocols.

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