Control of Portals of Entry in Healthcare
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Questions and Answers

What is the primary reason for keeping skin and mucous membranes intact?

  • To prevent microorganisms from entering the host (correct)
  • To promote faster healing of existing wounds
  • To reduce the need for frequent hygiene care
  • To enhance aesthetic appeal
  • Which practice helps in preventing skin breakdown for immobilized patients?

  • Avoiding the use of lubricants
  • Keeping skin excessively dry
  • Using tight restraints
  • Frequent turning and positioning (correct)
  • What is the best practice for maintaining the integrity of a urinary catheter connection?

  • Keeping the connection open for easy access
  • Regularly checking the connection for leaks
  • Using tape to secure loose connections
  • Ensuring the point of connection remains closed and intact (correct)
  • Which direction is recommended when cleaning the rectum and perineum to prevent infections?

    <p>From the urinary meatus toward the rectum</p> Signup and view all the answers

    Which action is recommended to minimize catheter movement at the urethra?

    <p>Stabilizing the catheter with tape</p> Signup and view all the answers

    What is a major risk linked to careless disposal of needles?

    <p>Exposure to bloodborne pathogens</p> Signup and view all the answers

    What is an important practice when using drainage receptacles?

    <p>Only opening when necessary to discard or measure drainage</p> Signup and view all the answers

    What should be done immediately after a needle stick injury?

    <p>Complete an injury report and seek appropriate treatment</p> Signup and view all the answers

    What role does dry, wrinkle-free linen play in patient care?

    <p>It helps reduce the chances of skin breakdown</p> Signup and view all the answers

    What should be the first step before obtaining specimens from drainage tubes?

    <p>Performing hand hygiene</p> Signup and view all the answers

    Which infections are most commonly transmitted by contaminated needles?

    <p>Hepatitis B and C</p> Signup and view all the answers

    Which method is considered best practice to protect an open drainage tube from bacteria?

    <p>Temporarily placing sterile gauze around the ends of the tube</p> Signup and view all the answers

    Why is meticulous perineal care particularly important for individuals using incontinence pads?

    <p>To prevent skin irritation and infections</p> Signup and view all the answers

    When cleansing a surgical wound, what is the first step?

    <p>Wiping around the wound edge first</p> Signup and view all the answers

    What should healthcare workers do after using a needle for an injection?

    <p>Engage any safety device and dispose of it in a puncture-resistant box</p> Signup and view all the answers

    What is a critical consideration regarding the shared use of urine-measuring containers?

    <p>They must not be shared between patients</p> Signup and view all the answers

    Which practice is essential in maintaining the sterility of a surgical wound?

    <p>Cleaning outward from the wound site</p> Signup and view all the answers

    What commonly overlooked action can significantly increase infection risk among healthcare workers?

    <p>Accidental needle sticks</p> Signup and view all the answers

    What is the primary goal of keeping drainage tubes closed and secure?

    <p>To prevent the entrance of microorganisms</p> Signup and view all the answers

    What should be done if excess moisture accumulates at the drainage tube exit site?

    <p>Ensure the area is clear of excess moisture and drainage</p> Signup and view all the answers

    Study Notes

    Control of Portals of Entry

    • Skin and mucous membrane integrity is crucial for preventing microorganism entry into a host.
    • Keeping the patient's skin lubricated is essential for maintaining skin health.
    • Immobilized and debilitated patients have a higher risk of skin breakdown.
    • Avoid positioning patients on tubes or objects that could cause skin injuries.
    • Use dry, wrinkle-free linens to minimize skin breakdown risk.
    • Frequent repositioning is necessary to prevent skin redness from pressure.
    • Regular oral hygiene helps keep mucous membranes moist.
    • Water-soluble ointment is effective for keeping lips lubricated.
    • Proper hygiene for individuals with female genitalia involves wiping from the urinary meatus toward the rectum to minimize infection risk.
    • Cleaning from least to most contaminated areas helps reduce genitourinary infections.
    • Meticulous perineal care is critical for patients using incontinence pads to prevent infections.
    • Accidental needle sticks put patients, healthcare workers, and housekeepers at risk for infections.
    • After needle use, engage safety devices and dispose of needles in puncture-resistant containers.
    • Needles left in bed linens or waste baskets pose significant exposure risks to bloodborne pathogens.
    • Hepatitis B and C are the most common infections transmitted through contaminated needles.
    • Immediate reporting of needle stick injuries is required.
    • Healthcare agencies mandate the completion of injury reports and treatment following a needle stick.
    • The Canadian Needle Stick Surveillance Network monitors health care workers exposed to needle sticks.

    Scientific Basis for Nursing Practice

    • Improper handling of urinary catheters and drainage sets can lead to microorganism entry.
    • The connection between a catheter and drainage tube should remain sealed and intact to prevent bacterial entry.
    • Outflow spigots on drainage bags must be kept closed.
    • Movement at the urethral catheter insertion point should be minimized using stabilization techniques like tape.
    • Urine-measuring containers should never be shared between patients to prevent cross-contamination.
    • Nurses managing closed drainage systems (wound drainage, bile) must ensure exit sites are free from excess moisture and drainage.
    • All tubing in use should stay connected to prevent exposure to microorganisms.
    • Drainage receptacles should be opened only for necessary draining or measuring actions.
    • Hand hygiene is crucial before obtaining specimens from drainage systems, along with disinfecting tubing and ports with alcohol-based solutions.
    • Sterile gauze can enhance protection around open drainage tubes but maintaining closed and secure systems is the best prevention method.
    • To cleanse a surgical wound, move outward from the site to avoid introducing microorganisms.
    • Begin antiseptic applications by cleaning around the wound edge before proceeding outward, using clean gauze for each cleaning revolution.

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    Description

    This quiz focuses on the importance of maintaining the integrity of skin and mucous membranes in healthcare settings. It covers key practices to prevent skin breakdown in patients, particularly those who are immobilized or debilitated. Understanding these concepts is essential for effective patient care and infection control.

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