Infection Control & Asepsis
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Questions and Answers

Which of the following is a key aspect of health promotion?

  • Withholding fluids
  • Administering antibiotics
  • Providing nutritional support (correct)
  • Performing surgery

Why is personal hygiene important for patients?

  • It maintains the integrity of mucous membranes (correct)
  • It promotes microorganism growth
  • It decreases appetite
  • It increases the risk of infection

Whose guidelines should be followed for immunizations?

  • National Institutes of Health (NIH)
  • Food and Drug Administration (FDA)
  • Centers for Disease Control (CDC) (correct)
  • World Health Organization (WHO)

In acute care, what is the primary goal regarding infections?

<p>Eliminating infectious organisms (C)</p> Signup and view all the answers

What is the definition of asepsis?

<p>The absence of pathogenic microorganisms (B)</p> Signup and view all the answers

Which of the following describes indirect transmission?

<p>Contact with a contaminated inanimate object (B)</p> Signup and view all the answers

What is the primary means of droplet transmission?

<p>Coughing or sneezing (B)</p> Signup and view all the answers

Which of the following is an example of a vehicle of transmission?

<p>Contaminated sharps (B)</p> Signup and view all the answers

What is a vector in the context of disease transmission?

<p>An animal that transmits disease (B)</p> Signup and view all the answers

What factor determines a host's susceptibility to pathogens?

<p>The individual's degree of resistance (C)</p> Signup and view all the answers

Which nursing diagnosis focuses on the potential for developing an infection?

<p>Risk for Infection (B)</p> Signup and view all the answers

What is a key consideration when establishing outcomes?

<p>Aligning with patient expectations (A)</p> Signup and view all the answers

What term describes an infection that affects the body as a whole?

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

Which of the following diseases directly compromises the immune system?

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

What characteristic should interventions possess?

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

Which of the following is an example of a fungal microorganism?

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

What is a significant risk associated with extensive burns?

<p>High susceptibility to infection (B)</p> Signup and view all the answers

In what type of environment do priorities change rapidly?

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

What route of transmission is typical for protozoal parasitic infections?

<p>Fecal-oral (B)</p> Signup and view all the answers

Which of the following is an example of impaired physical function mentioned in the text?

<p>Impaired Mobility (B)</p> Signup and view all the answers

Which of the following is a common bacterial infection, especially in elderly patients treated with antibiotics?

<p>C-Diff (B)</p> Signup and view all the answers

Adrenal corticosteroids, used to treat some chronic diseases, can lead to what?

<p>Impaired inflammatory response (C)</p> Signup and view all the answers

What is the term for the absence of clinical signs and symptoms of a disease?

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

Which nursing diagnosis involves issues with food intake?

<p>Impaired Nutritional Status: Deficient Food Intake (C)</p> Signup and view all the answers

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

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

Which type of infection typically lasts longer than 12 weeks?

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

What does teamwork and collaboration include?

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

What is a common generalized symptom of a systemic infection?

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

A change in level of consciousness (LOC) can indicate what condition?

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

What is the general term for presence of pathogens in the blood or other tissues throughout the body?

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

Which population is considered at greater risk for infection based on socioeconomic factors?

<p>Uninsured or underinsured individuals (D)</p> Signup and view all the answers

Which of the following infections is caused by a virus?

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

Elevated temperature, increased heart rate and increased respiratory rate, coupled with a drop in blood pressure suggests what condition?

<p>A systemic infection. (B)</p> Signup and view all the answers

Which of the following is a fungal infection of the skin?

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

Which bacterial infection is most common in elderly patients being treated with antibiotics?

<p>C-diff (A)</p> Signup and view all the answers

What is the primary goal of cleaning in the context of infection control?

<p>Removing organic and inorganic material from surfaces. (D)</p> Signup and view all the answers

Which of the following eliminates all forms of microbial life?

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

What is the purpose of emptying urinary drainage bags in infection control?

<p>To control or eliminate reservoirs of infection. (C)</p> Signup and view all the answers

Which of the following is an example of controlling the portal of exit?

<p>Respiratory hygiene/cough etiquette. (D)</p> Signup and view all the answers

What is a key component of standard precautions?

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

Between patients, what is the recommended action for cleaning shared medical equipment like stethoscopes?

<p>Wipe with alcohol wipes (D)</p> Signup and view all the answers

If the edge of a sterile glove package is slightly yellow, but the gloves are more than 1 inch away, what action should the nurse take?

<p>Throw the gloves away because they are potentially contaminated. (B)</p> Signup and view all the answers

While donning sterile gloves, a nurse touches the outside of a sterile glove with their bare hand. What principle has been broken?

<p>Sterile-touches-sterile principle (C)</p> Signup and view all the answers

Flashcards

Asymptomatic

Absence of clinical signs and symptoms of disease.

Acute infection

An infection that resolves in a few days or weeks.

Chronic infection

An infection lasting longer than 12 weeks, sometimes non-curable.

Localized infection

An infection specific to one body part.

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Systemic infection

An infection that affects the body as a whole or spreads throughout the body.

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Sepsis

A common type of systemic infection with pathogens in blood or tissues.

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Fungal infection

Infections caused by yeasts, molds, and mushrooms; usually non-disease in healthy individuals.

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Viral infection

Infections resulting from virus interference with host cell function.

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Protozoal infection

Infections from single-celled organisms, typically affecting immunocompromised individuals.

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Bacterial infection

Infections caused by bacteria, varying by pathogen and body area affected.

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Indirect Transmission

Contact with contaminated inanimate objects, like needles or soiled linens.

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Droplet Transmission

Spread of germs through droplets from coughs or sneezes within 6 ft.

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Airborne Transmission

Germs carried in the air from coughing or sneezing, suspended in droplets.

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Vector Transmission

Transfer of pathogens by biting insects like mosquitoes, fleas, or ticks.

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Susceptible Host

An individual's vulnerability to infections based on resistance to pathogens.

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Health Promotion

Activities aimed at improving health and preventing disease.

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Nutrition

A balanced diet that supports the immune system and overall health.

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Personal Hygiene

Practices that promote cleanliness and reduce microorganisms on skin.

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Medical Asepsis

Methods to prevent the spread of pathogens, including hand hygiene and PPE.

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Adequate Rest

Necessary sleep that aids body functions, energy, and recovery.

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Leukemia

A type of cancer that affects blood and bone marrow.

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AIDS

A condition caused by HIV that weakens the immune system.

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Infection Risk in Burns

Burns increase susceptibility to infections due to skin barrier loss.

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Chronic Disease Treatments

Long-term conditions may be treated with corticosteroids, affecting immune response.

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Signs of Local Infection

Indications include redness, warmth, swelling, and possible drainage.

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Signs of Systemic Infection

Generalized symptoms like fever, fatigue, nausea, and malaise.

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Populations at Greater Risk

Certain groups face higher infection risks, such as the elderly or uninsured.

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Infection Assessment

Physical assessment is crucial to identify areas at risk for infection.

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Risk for Infection

A nursing diagnosis indicating a patient's susceptibility to an infection due to compromised defenses.

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Impaired Nutritional Status

A condition characterized by insufficient food intake impacting health and recovery.

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Impaired Oral Mucous Membrane

A nursing diagnosis related to damage or irritation of the oral mucosa, affecting comfort and function.

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Social Isolation

A lack of social interaction that can negatively affect emotional and physical health.

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Impaired Skin Integrity

A nursing diagnosis indicating damage or breakdown of skin, increasing risk for infection.

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Impaired Mobility

A condition where a patient has limited movement ability, affecting independence and safety.

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Setting Priorities

The process of determining the most important nursing diagnoses and associated outcomes for patient care.

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Teamwork and Collaboration

The integration of multiple health disciplines and caregivers to provide comprehensive patient care.

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Cleaning

Removal of organic or inorganic material from surfaces.

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Disinfection

Elimination of many microorganisms, excluding spores.

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Sterilization

Complete elimination of all microbial life, including spores.

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Control of Reservoirs

Methods to reduce sources of infections like waste and urine.

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Portals of Exit/Entry

Ways germs leave or enter the body; includes hygiene practices.

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Transmission Control

Using precautions to prevent spread of infections.

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Isolation Precautions

Methods to keep infected individuals separate to prevent spread.

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Sterile Touch Principle

Rule that sterile items must only touch other sterile items.

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Study Notes

Infection Control and Prevention

  • Nurses are vital to infection prevention and control.
  • Patients in healthcare settings are at risk for acquiring infections due to lower resistance to pathogens, increased exposure to pathogens (some resistant to antibiotics), and invasive procedures.

Terms to Know

  • Infection: Invasion and multiplication of microorganisms in body tissues (can be clinically unapparent or cause cellular injury).
  • Colonization: Presence and growth of microorganisms within a host without tissue invasion.
  • Communicable Disease: Infectious disease transmitted from one person to another.
  • Symptomatic: Presence of clinical signs and symptoms.
  • Asymptomatic: Absence of clinical signs and symptoms.
  • Acute: Resolves within days or weeks.
  • Chronic: Typically lasts longer than 12 weeks, sometimes not curable.
  • Localized Infection: Specific to one body part.
  • Systemic Infection: Affects the entire body.
  • Sepsis: A common systemic infection with pathogens in the bloodstream or tissues.
  • Epidemic: Outbreaks of disease affecting a large population in a short time.
  • Pandemic: Outbreaks of disease affecting multiple regions or countries.

Common Pathogens

  • Fungal: Microorganisms including yeasts, molds, and mushrooms. Normally contained within the body, but can cause serious disease in immunocompromised people.
  • Examples: Athlete's foot, candidiasis, histoplasmosis, ringworm.
  • Viral: Require host cells to replicate, and are often associated with acute or chronic disease.
  • Examples: HIV, hepatitis A, B, C, or E, human papillomavirus, Ebola, coronavirus 19, influenza.
  • Parasitic: Often infect individuals with compromised immunity. Usually found in dead material like water and soil. Often transmitted via the fecal-oral route.
  • Examples: Giardia, cryptosporidiosis, balantidium, Chagas disease, malaria.
  • Bacterial: Depend on the specific bacterial pathogen and the area of the body affected.
  • Examples: MRSA, C. diff, vancomycin-resistant enterococci (VRE), mycobacterium tuberculosis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Clostridium tetani (tetanus)

Chain of Infection

  • Infectious Agents: Organisms capable of causing disease, depending on number, virulence, and host susceptibility.
  • Reservoirs: Places where microorganisms survive and multiply.
  • Portal of Exit: Ways microorganisms leave the reservoir (e.g., blood, secretions, excretions).
  • Modes of Transmission: Methods microorganisms are spread from reservoir to host (physical contact, droplets, airborne, vehicles, vector).
  • Portal of Entry: Ways microorganisms enter the host (e.g., mucous membranes, respiratory system, broken skin).
  • Susceptible Host: Individuals with weakened defenses against infection (e.g., immunocompromised individuals, due to age, chronic disease, or other factors).

Infectious Process

  • Incubation Period: Time between pathogen entry and the first symptoms.
  • Prodromal Stage: Time from first symptoms to more specific symptoms.
  • Illness Stage: Time period when specific symptoms are apparent.
  • Convalescence: Time when the symptoms subside (resolution depends on infection severity and host resistance).

Risk Factors for Infections

  • Immunodeficiency: Immature or less responsive immune system, caused by genetic factors, malnutrition, preexisting infections, or medications.
  • Chronic Disease: Conditions like diabetes, inflammatory disorders, cancers, and respiratory disorders increase susceptibility.
  • Environmental Conditions: Crowded living conditions, poor sanitation, lack of clean water or food, inadequate ventilation, or conditions related to food preparation can increase risk of infection.

Common Diagnostic Tests

  • Complete Blood Count (CBC): Measures different blood components.
  • Culture and Sensitivity (C&S): Identifies the germs causing the infection and their sensitivity to potential medications.
  • C-Reactive Protein (CRP): Protein produced by the liver in response to inflammation.
  • Erythrocyte Sedimentation Rate (ESR): Measures the rate at which red blood cells settle in a blood sample.
  • Serologic Tests: Identifies virus or antibodies in blood samples to aid in diagnosis and monitoring.
  • Radiographic Tests (e.g., Chest X-rays, CT scans, MRI, PET scans, other imaging) for visualization of potential infections

Health Care Associated Infections (HAI)

  • Infections acquired during a hospital stay or other healthcare setting.
  • May be caused by invasive procedures, use of antibiotics, presence of multidrug-resistant organisms, or breaks in infection control.
  • Types of HAIs include central line-associated bloodstream infections (CLABSI), surgical site infections (SSI), catheter-associated urinary tract infections (CAUTI), methicillin-resistant Staphylococcus aureus (MRSA) infections, ventilator-associated pneumonia (VAP).

Classifications of Infections

  • Iatrogenic: Infection acquired due to a medical procedure.
  • Exogenous: Infection from an external source (i.e. outside of the body).
  • Endogenous: Infection from microorganisms normally present in the body.

Defensive Mechanisms

  • Body system defenses
  • Normal floras
  • Inflammation:
  • Vascular and Cellular Response
  • Inflammatory Exudate
  • Tissue Repair

Patient Education

  • Entire course of antibiotics taken to prevent further resistant growth
  • Ensure infection has completely resolved
  • Importance of preventing further infections

Governing Bodies

  • OSHA (Occupational Safety and Health Administration): Establishes regulations to protect workers from bloodborne pathogens in the workplace (e.g., Proper handling of contaminated materials/equipment).
  • CDC (Centers for Disease Control and Prevention): Provides guidelines for reporting and controlling communicable diseases, and promotes infection prevention and control measures in healthcare settings.

Clinical Management

  • Primary Prevention: Vaccinations, proper hand hygiene, and other good hygiene practices.
  • Secondary Prevention: Screening, STD screening, pap smears.
  • Collaborative interventions: Antimicrobial therapy, rest, comfort measures, and a clean environment.

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Test your knowledge of health promotion, personal hygiene, and disease transmission. Explore key aspects of infection control, including asepsis, modes of transmission, and host susceptibility. Enhance your understanding with this comprehensive quiz.

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