Microbiology Chapter 5 Quiz

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Questions and Answers

What term is used to describe a condition when microorganisms are found in the bloodstream?

  • Chronic infection
  • Septicemia
  • Nosocomial infection
  • Bacteremia (correct)

Which of the following is a common source of nosocomial infections?

  • A patient's family members visiting
  • Endogenous sources from the client (correct)
  • Contaminated food in the facility
  • Viruses originating from the respiratory system

Acute infections are characterized by what type of onset?

  • Gradual onset lasting years
  • Intermittent episodes lasting months
  • Slow onset with chronic symptoms
  • Sudden onset lasting a few days (correct)

What is an example of an iatrogenic infection?

<p>Infection caused by a surgical procedure (C)</p> Signup and view all the answers

Which link in the chain of infection refers to the organism causing the disease?

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

What primarily contributes to the spread of nosocomial microorganisms?

<p>Insufficient hand cleansing (A)</p> Signup and view all the answers

What differentiates septicemia from bacteremia?

<p>Septicemia refers to severe cases of bacteremia leading to systemic infection. (D)</p> Signup and view all the answers

Which of the following is considered a chronic infection?

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

What is the primary function of plasma cells in the immune system?

<p>They secrete antibodies and serum proteins. (D)</p> Signup and view all the answers

Which type of immunity is characterized by the host receiving antibodies produced by another source?

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

What main role do helper T cells play in the immune response?

<p>They provide regulatory support to the immune system. (C)</p> Signup and view all the answers

Which factor does NOT increase susceptibility to infection?

<p>High nutritional status (A)</p> Signup and view all the answers

How does chronic stress influence susceptibility to infections?

<p>It elevates blood cortisone levels. (A)</p> Signup and view all the answers

Which of the following groups of T cells is responsible for killing infected or cancerous cells?

<p>Cytotoxic T cells (A)</p> Signup and view all the answers

What is one consequence of inadequate nutritional status in relation to the immune system?

<p>Decreased ability to synthesize antibodies (C)</p> Signup and view all the answers

What impact does radiation therapy have on a patient's susceptibility to infections?

<p>It destroys both cancerous and some normal cells. (A)</p> Signup and view all the answers

What is the primary purpose of cleansing hands between client contacts?

<p>To prevent the transmission of pathogens (C)</p> Signup and view all the answers

Which hormone is primarily responsible for increasing cellular metabolism and heat production in the body?

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

What is a recommended nursing intervention for managing the reservoir of infection?

<p>Dispose of soiled linens appropriately (D)</p> Signup and view all the answers

How does fever affect the body's heat production?

<p>It increases the metabolic rate (D)</p> Signup and view all the answers

Which method of heat loss is characterized by the transfer of heat through direct contact with another surface?

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

Which intervention is NOT appropriate for breaking the chain of infection?

<p>Coughing over open wounds (D)</p> Signup and view all the answers

Which of the following factors is NOT directly related to heat production in the body?

<p>Level of hydration (C)</p> Signup and view all the answers

What should be done to ensure effective aseptic precautions are maintained?

<p>Initiate and implement aseptic precautions for all clients (A)</p> Signup and view all the answers

What is the primary factor affecting pulse rate associated with aging?

<p>Pulse rate gradually decreases overall with age. (B)</p> Signup and view all the answers

How is cardiac output calculated?

<p>Stroke volume times heart rate per minute. (C)</p> Signup and view all the answers

What happens to the pulse rate during exercise for professional athletes?

<p>It increases at a slower rate than in average individuals. (C)</p> Signup and view all the answers

Which condition is known to increase the pulse rate due to metabolic changes?

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

What effect does hypovolemia have on heart rate?

<p>It triggers an adjustment to increase heart rate. (C)</p> Signup and view all the answers

What defines a peripheral pulse?

<p>A pulse detected away from the heart, such as in the wrist. (A)</p> Signup and view all the answers

How does stress affect heart activity?

<p>It increases the overall activity of the heart. (C)</p> Signup and view all the answers

How does gender affect pulse rate after puberty?

<p>Male pulse rates are usually slightly lower than female rates. (C)</p> Signup and view all the answers

What is the primary characteristic of Cheyne-Stokes respiration?

<p>Alternating periods of apnea and hyperventilation (B)</p> Signup and view all the answers

How does increased peripheral resistance affect blood pressure?

<p>Increases blood pressure (C)</p> Signup and view all the answers

What occurs during episodes of Kussmaul’s respiration?

<p>Abnormally deep, regular, and increased rate of respiration (A)</p> Signup and view all the answers

What condition leads to the loss of the arteries' ability to constrict and dilate?

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

Which of the following best describes dyspnea?

<p>Difficult and labored breathing with a feeling of air hunger (A)</p> Signup and view all the answers

How does blood viscosity affect blood pressure?

<p>High viscosity results in higher blood pressure (A)</p> Signup and view all the answers

What is the effect of hypoventilation on respiratory rate?

<p>Respiratory rate is abnormally low with depressed depth (D)</p> Signup and view all the answers

What distinguishes orthopnea?

<p>Ability to breathe only in an upright position (A)</p> Signup and view all the answers

What does core temperature refer to?

<p>The temperature of the deep tissues (B)</p> Signup and view all the answers

Which of the following describes surface temperature?

<p>The temperature of the skin (B)</p> Signup and view all the answers

Which method is NOT a means of heat loss in the body?

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

What is the integrator responsible for the regulation of body temperature?

<p>Hypothalamus and an effector system (A)</p> Signup and view all the answers

What does intermittent fever mean?

<p>Body temperature alternates at regular intervals between periods of fever (B)</p> Signup and view all the answers

What does pulse deficit indicate?

<p>Difference between apical and radial pulse rates (B)</p> Signup and view all the answers

What term describes an elevated blood pressure of known cause?

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

Flashcards

Local infection

Infection restricted to the specific area of the body where microorganisms reside.

Systemic infection

Infection spreads and damages various parts of the body.

Bacteremia

Presence of microorganisms in the bloodstream.

Septicemia

Systemic infection caused by bacteremia.

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Acute infection

Infection appearing suddenly and lasting a short duration.

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Chronic infection

Infection developing slowly and persisting for months or years.

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Nosocomial infection

Infection acquired in a healthcare setting.

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Iatrogenic infections

Infections resulting from medical procedures.

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Passive Immunity

A type of immunity where the host receives antibodies produced by another source, like a nursing mother (natural) or through an injection (artificial).

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Plasma Cells

Specialized immune cells that produce antibodies, which are proteins that bind to foreign substances and initiate their removal from the body.

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T Cells

Cells involved in cell-mediated immunity, which targets infected cells directly, rather than using antibodies.

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Helper T Cells

A type of T cell that helps activate other immune cells, like B cells and other T cells, making them more effective fighters.

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Cytotoxic T Cells

A type of T cell that kills infected cells and sometimes even cancer cells by releasing toxic chemicals.

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Suppressor T Cells

A type of T cell that helps regulate the immune response by suppressing the activity of other immune cells, preventing overreaction.

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Host Susceptibility

Factors that make an individual more vulnerable to infections. It can be influenced by age, genetics, stress, nutrition, medications, and existing diseases.

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Cortisone

A hormone that can suppress the immune system when levels are elevated due to stress. This can increase susceptibility to infections.

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Basal Metabolic Rate (BMR)

The rate at which energy is used by the body to maintain basic functions, like breathing, even when at rest.

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Chemical Thermogenesis

The process of increasing heat production in the body through increased cellular metabolism.

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Sympathetic Stimulation / Stress Response

Hormones like epinephrine and norepinephrine released during stress, causing a temporary increase in body temperature.

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Conduction

Heat transfer through direct contact between objects at different temperatures.

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Convection

Heat transfer through movement of fluids or air.

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Vaporization

Heat loss through evaporation of water from the skin and lungs.

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Radiation

Heat loss through infrared radiation, where energy is emitted from a warmer object to a colder one.

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Pathogenic Microorganisms

The microorganisms found in cultures of urine, blood, sputum, or other drainage that indicate the presence of infection.

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Cardiac Output

The volume of blood pumped by the heart per minute, calculated by multiplying stroke volume by heart rate.

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Peripheral Pulse

The pulse felt in an area far from the heart, like the wrist or foot.

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Apical Pulse

The pulse felt directly over the heart, at the point of maximal impulse (PMI).

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Arterial Distensibility

The ability of arteries to stretch and expand as blood flows through them.

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Decreased Arterial Distensibility

A condition where arteries lose their ability to stretch, often associated with aging, making the heart work harder to pump blood.

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Stroke Volume

The amount of blood pumped out by the heart with each beat.

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Heart Rate

The number of times the heart beats per minute.

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Hypovolemia

A condition where blood loss causes the heart to beat faster to maintain blood pressure.

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Core Temperature

The temperature of the internal organs and deep tissues, generally considered the most accurate measure of body temperature.

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Surface Temperature

The temperature of the skin surface. It can vary depending on environment and blood flow.

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Hypothalamus

The main control center in the brain responsible for regulating body temperature.

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Intermittent Fever

A type of fever where the body temperature alternates between periods of fever and normal temperature at regular intervals.

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Pulse Deficit

The difference between the apical pulse (measured at the heart) and the radial pulse (measured at the wrist).

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Primary Hypertension

High blood pressure with an unknown cause. It can be due to several factors and requires medical management.

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What is orthopnea?

The ability to breathe only in an upright sitting or standing position.

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Describe Cheyne-Stokes respiration.

A pattern of breathing characterized by irregular periods of apnea (no breathing) alternating with periods of hyperventilation (rapid breathing).

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What is Kussmaul's respiration?

Deep, regular, and increased rate of breathing. Often associated with metabolic acidosis.

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What is peripheral vascular resistance?

The resistance to blood flow in the peripheral arteries.

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How does blood viscosity affect blood pressure?

Blood pressure is higher when the blood is highly viscous (thick), that is, when the proportion of red blood cells to the blood plasma is high.

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How does blood volume affect blood pressure?

When blood volume decreases (as with hemorrhage or dehydration), blood pressure decreases due to less fluid in the arteries. Conversely, when blood volume increases (as with rapid IV infusion), blood pressure increases because of more fluid in the circulatory system.

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What is arteriosclerosis?

The elastic and muscular tissues of the arteries are replaced with fibrous tissue, resulting in decreased ability of the arteries to constrict and dilate. This condition is common in middle-aged and elderly adults.

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How do arterioles and capillaries affect peripheral vascular resistance?

The diameter of the arterioles and capillaries plays a major role in determining peripheral resistance. Smaller spaces mean greater resistance.

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Study Notes

Fundamentals of Nursing Course Notes - First Semester

  • Part One - 2023-2024

Asepsis

  • Introduction

    • Microorganisms exist everywhere (water, soil, body surfaces).
    • Most microorganisms are harmless and some are beneficial.
    • Some microorganisms are normal residents, while others can cause infection.
  • Types of Microorganisms Causing Infections

    • Bacteria (most common).
    • Viruses.
    • Fungi.
    • Parasites.
  • Types of Infections

    • Local: limited to a specific area.
    • Systemic: spreads throughout the body.
    • Asymptomatic/Subclinical: no clinical evidence of disease.
    • Communicable: can be transmitted directly or indirectly.
    • Acute: sudden onset and short duration.
    • Chronic: slow onset and long duration.
  • Nosocomial Infections

    • Infections acquired in a healthcare facility (during or after admission).
    • Factors contributing:
      • Iatrogenic infections (related to procedures).
      • Compromised host (weakened immune system).
      • Poor infection control practices.
  • Chain of Infection

    • Etiologic agent (microorganism)
    • Reservoir (source of microorganism)
    • Portal of exit from reservoir
    • Method of transmission
    • Portal of entry to host
    • Susceptible host
  • Body Defenses Against Infections

    • Anatomic barriers (skin, mucous membranes).
    • Physiologic barriers (stomach acid, tears, cilia).
    • Inflammatory response
    • Specific (immune) defenses:
      • Antibody-mediated defenses
      • Cell-mediated defenses
  • Factors Increasing Susceptibility to Infection

    • Age (very young/old have weakened immune systems).
    • Heredity.
    • Stress.
    • Malnutrition.
    • Pre-existing diseases.
    • Medications (immunosuppressants).
    • Medical procedures (surgery).
  • Nursing Management

    • Assessment (collecting data related to infectious process, risk factors).
    • Implementation (interventions breaking chain of infection).
  • Preventing Nosocomial Infections

    • Hand hygiene.
    • Sterile technique.
    • Isolation precautions.
    • Proper handling of equipment and supplies.
  • Disinfecting and Sterilizing

    • Methods to kill or remove microorganisms.
  • Isolation Precautions

    • Standards of care for preventing spread of infection among patients and from patient to healthcare professionals.
  • Personal Protective Equipment

    • Protecting healthcare providers from infection (gloves, gowns, masks, eye protection).
  • Principles and Practices of Surgical Asepsis

    • Maintaining sterile techniques during procedures.
  • Infection Control for Healthcare Workers

    • Guidelines for infection prevention.

Heat Production and Loss

  • Factors affecting heat production.
  • Mechanisms of heat loss.

Temperature Measurement

  • Fahrenheit and Centigrade scales.
  • Conversion formulas.

Pulse

  • Definition.
  • Components of measuring pulse.
  • Factors affecting pulse.
  • Pulse sites.

Respiration

  • Definition.
  • Types of respiration.
  • Mechanics of respiration.
  • Factors affecting respiration.

Blood Pressure

  • Classification of Blood Pressure.
  • Factors affecting Blood Pressure.
  • Hypertension.
  • Hypotension.

Life Style Modification to Prevent and Manage Hypertension

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