Infection Control and Isolation Quiz

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Questions and Answers

Which breathing pattern is characterized by deep, rapid, and regular breaths and is often associated with diabetic ketoacidosis?

  • Apnea
  • Eupnea
  • Cheyne-Stokes
  • Kussmaul's (correct)

What is the normal range for oxygen saturation?

  • 90% - 95%
  • 95% or higher (correct)
  • 85% - 90%
  • 100%

What is the difference between active and passive range of motion?

  • Active range of motion is performed by the healthcare professional, passive range of motion is performed by the patient.
  • Active range of motion is performed by the patient with assistance from the healthcare professional, passive range of motion is performed by the healthcare professional.
  • There is no difference between active and passive range of motion.
  • Active range of motion is performed by the patient, passive range of motion is performed by the healthcare professional. (correct)

Which of the following is NOT a location where peripheral pulses are typically assessed?

<p>Carotid (C)</p> Signup and view all the answers

Which of the following is NOT a recommended intervention for a low oxygen saturation level?

<p>Administer medication (C)</p> Signup and view all the answers

Which of the following interventions is NOT recommended for a patient with constipation?

<p>Administer a laxative (A)</p> Signup and view all the answers

Which movement pair describes the following action: bending the elbow?

<p>Extension and Flexion (D)</p> Signup and view all the answers

Which intervention is specifically recommended for managing a patient with urinary retention?

<p>Encourage fluids and mobility (A)</p> Signup and view all the answers

Which of the following is NOT a type of movement pair?

<p>Inversion and Dorsiflexion (D)</p> Signup and view all the answers

Which intervention is specifically important for patients with potential foot drop?

<p>Apply splints (D)</p> Signup and view all the answers

Which of the following are examples of diagnoses that would require Contact Precautions?

<p>Scabies (A)</p> Signup and view all the answers

What is the minimum PPE required for a caregiver entering a room with a patient on Droplet Precautions?

<p>Surgical mask (C)</p> Signup and view all the answers

Which of the following are examples of Healthcare-Associated Infections (HAIs)? (Select all that apply)

<p>Pneumonia (A), Skin infections (B), Wound infections (C), Urinary tract infections (D)</p> Signup and view all the answers

What is the normal range for blood pressure?

<p>120/80 mmHg (B)</p> Signup and view all the answers

Which of the following are considered appropriate interventions for falls risk assessment? (Select all that apply)

<p>Making sure side rails are up (A), Ensuring the patient can reach needed items easily (B), Ensuring the bed is in the lowest position (C)</p> Signup and view all the answers

Which of these is NOT a nursing intervention for someone in restraints?

<p>Administering pain medications (C)</p> Signup and view all the answers

Which of the following are valid reasons for using restraints? (Select all that apply)

<p>To protect the patient from self-harm or harming others (A), When there is a lack of other intervention options (D)</p> Signup and view all the answers

What is the correct sequence of steps for using a fire extinguisher?

<p>Pull, Aim, Squeeze, Sweep (A)</p> Signup and view all the answers

When should hand hygiene be performed? (Select all that apply)

<p>After contact with any patient belongings (A), Before and after wearing gloves (B), Before and after touching a patient (C), After contact with contaminated equipment (D)</p> Signup and view all the answers

What is the first step in the RACE acronym for fire safety?

<p>Rescue (D)</p> Signup and view all the answers

Which of the following are considered necessary for preventing needlestick injuries? (Select all that apply)

<p>Ensuring the sharps container is less than ¾ full (A), Engaging the safety device immediately after use (B), Using safety needles (E)</p> Signup and view all the answers

Which of the following are signs of infection? (Select all that apply)

<p>Fever (A), Sore throat (C), Chills and sweats (D)</p> Signup and view all the answers

What is the correct definition of Stage 2 hypertension?

<p>Systolic pressure is 140 mmHg or diastolic pressure is 90 mmHg (C)</p> Signup and view all the answers

Which of the following is NOT a client safety goal?

<p>Maintaining accurate patient charts (A)</p> Signup and view all the answers

What is the correct intervention for orthostatic hypotension?

<p>Changing positions slowly (D)</p> Signup and view all the answers

What is the definition of orthostatic hypotension?

<p>A sudden drop in blood pressure when standing up (D)</p> Signup and view all the answers

Which bed position is most appropriate for a patient experiencing difficulty breathing?

<p>Semi-Fowler's (D)</p> Signup and view all the answers

When assisting a client with ambulation, which gait pattern involves using crutches with a 2-point gait?

<p>3-point gait (B)</p> Signup and view all the answers

Which of the following is a potential cardiovascular complication associated with immobility?

<p>Orthostatic hypotension (B)</p> Signup and view all the answers

Which assistive device would be most appropriate for a client who can bear no weight when transferring from bed to a chair?

<p>Mechanical lift (A)</p> Signup and view all the answers

Which intervention is specifically designed to prevent atelectasis in an immobile client?

<p>Incentive spirometer (C)</p> Signup and view all the answers

Which of the following interventions helps to prevent shearing and friction in an immobile client?

<p>Frequent repositioning (B)</p> Signup and view all the answers

What is the proper crutch placement in relation to the axilla?

<p>1 to 2 inches below the axilla (C)</p> Signup and view all the answers

Which of the following is not an effect of immobility on the gastrointestinal system?

<p>Deep vein thrombosis (D)</p> Signup and view all the answers

Flashcards

Constipation Interventions

Assess abdomen for discomfort; elevate HOB after meals.

Urinary Retention Interventions

Encourage fluids and activities to prevent renal calculi.

Psychosocial Support

Monitor emotional status; encourage family interaction.

Flexion

Bending that reduces the angle between bones.

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Abduction vs Adduction

Abduction moves limb away; adduction brings it closer.

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Apical Pulse

Taken at the left side of the chest over the heart apex for one full minute.

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Respiratory Patterns

Include eupnea, apnea, Cheyne-Stokes, and Kussmaul's; each indicates different health conditions.

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Oxygen Saturation

Measured with a pulse oximeter; normal level is 95% or higher.

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Passive Range of Motion

Movement of joints without the client's assistance, used for rehabilitation.

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Temperature Sites

Different body sites to check temperature, each with benefits and limitations.

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Supine Position

Lying on back; head, neck, & spine neutral.

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Prone Position

Lying on stomach, used for spinal surgery.

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Fowler's Position

Sitting position to help breathing; lean back.

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Trendelenburg Position

Tilted back position for certain health issues.

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Antiembolism Stockings

Compression stockings to prevent blood clots.

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Complications of Immobility

Health issues due to lack of movement.

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Cardiovascular Effects

Issues like deep vein thrombosis from immobility.

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Respiratory Interventions

Techniques to prevent pneumonia; like deep breathing.

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Types of Isolation Precautions

Categories of infection control measures to prevent disease spread.

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Contact Isolation

Used for wound infections, RSV, scabies; gown and gloves required.

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Droplet Isolation

Precautions for diseases like rubella; requires surgical mask.

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Respiratory Isolation

For measles, varicella, tuberculosis; requires N95 or higher mask.

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When to wear gloves?

Wear gloves when dealing with infectious materials, mucous membranes, or contaminated items.

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Hand Hygiene Importance

Essential before and after patient interactions to prevent infection.

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Healthcare Associated Infections

Infections acquired in healthcare settings; concern due to resistance and severity.

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Needlestick Injury Prevention

Utilize safety needles and engage safety devices to prevent injuries.

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Restraint Care

Nursing interventions including ROM, vital signs, and skin checks for clients in restraints.

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Fire Rescue Protocol

A series of actions: Rescue, Alarm, Contain, Extinguish for fire emergencies.

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Seizure Precautions

Nursing interventions to prevent injury during a seizure, such as placing the client safely.

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Normal Blood Pressure

The normal range for blood pressure is around 120/80 mmHg.

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Stages of Hypertension

Hypertension stages: Stage 1 (130-139/80-89), Stage 2 (≥140/≥90), Hypertensive Crisis (≥180/≥120).

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Orthostatic Hypotension Diagnosis

Diagnosed by a drop of at least 20 mmHg systolic or 10 mmHg diastolic when changing position.

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Vital Signs Monitoring

The process of checking blood pressure, pulse, and temperature regularly to assess health.

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Client Identification

Using at least two identifiers before administering care to avoid errors.

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Study Notes

Infection Control and Isolation

  • Assigning rooms for clients with infections involves considering the type of infection and appropriate personal protective equipment (PPE) for caregivers and visitors.
  • Isolation precautions vary based on the type of infection (contact, droplet, respiratory, protective).
  • Contact precautions require gowns and gloves, droplet precautions use surgical masks, respiratory precautions require N95 or higher masks, and protective isolation may involve masks for when leaving the room.
  • Gloves should be worn when handling contaminated materials, mucous membranes, non-intact skin, and contaminated equipment.
  • Protective eyewear should be worn during exposure to body fluids, infectious viruses, and bacteria.
  • Hand hygiene is crucial before and after treating each patient, touching surfaces, and changing gloves. Hygiene is critical for preventing the spread of Clostridium difficile.
  • Healthcare-associated infections (HAIs) can arise due to various factors and are a concern because of their potential impact on patient safety.
  • Signs of infection include fever, abdominal pain, coughing, chills, burning pain, and shortness of breath. Inflammation presents as swelling.
  • Breaking the infection chain involves hand hygiene, vaccinations, covering coughs/sneezes, and proper equipment usage.

Safety

  • Falls risk assessment and interventions involve bed height adjustments, brake locks, ensuring patient access to items, and use of appropriate bed rails.
  • Restraints should only be used when the client is aggressive, combative, or a danger to themselves or others. Restraints should not be unnecessary or unwanted.
  • Restraint application should be correct in terms of how they are applied to the bed and how tight they are applied. Proper application prevents harm to clients.
  • Client care in restraints requires careful monitoring of range of motion, food and fluids, circulatory and respiratory function, and skin. Frequent assessments are critical.
  • Complication prevention is important in restraint use. Monitoring is necessary in cases of fire.
  • Rescue, alarm, contain, extinguish procedures should be followed in a fire emergency.

Vital Signs

  • Blood pressure should follow proper technique, position, and cuff application to provide accurate readings.
  • Normal blood pressure is 120/80 mmHg, and hypertension stages are defined by systolic and diastolic pressure levels.
  • Risk factors and interventions/changes in position should be taken into consideration in cases of hypertension and hypotension.
  • Orthostatic hypotension is a drop in blood pressure with changes in position, and causes need to be diagnosed. This includes interventions, such as position change and medication review.
  • Apical pulse measurement should follow appropriate technique regarding time and location.
  • Respiratory rate (12-20 breaths/minute) should be assessed. Breathing patterns (eupnea, apnea, Cheyne-Stokes, Kussmaul's) vary by cause and should be noted.
  • Peripheral pulse locations and documentation of strength are essential.
  • Oxygen saturation evaluation (normal >95%) and interventions for low oxygen levels are critical.
  • Temperature taking is necessary for patient health monitoring.

Mobility

  • Range of motion involves active and passive movement, with differences in client participation, assessment, and application.
  • Various bed positions facilitate specific procedures or patient needs.
  • Proper crutch fit prevents risks during movement.
  • Applying anti-embolism stockings and assisting clients with ambulation should be done as needed according to specific assessments, as well as moving a client in bed.
  • Transferring clients depends on their weight-bearing status; assessments should be performed.
  • Immobility complications include cardiovascular, integumentary, respiratory, and gastrointestinal issues. Psychosocial factors influence an individual’s health and well-being.
  • Different types of movement include flexion, extension, abduction, adduction, and their implications on the body structure.

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