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Exam 2: NSG122/ NSG 122 (2024/ 2025
Update) Nursing Fundamental Concepts |
Complete Guide | Questions and Verified
Answers| 100% Correct| A Grade – Herzing
QUESTION
Which Isolation type: client diagnosed with active tuberculosis (TB)?
Answer: Tuberculosis can be transmitted through the air, so airborne precautions are necessary
QUESTION
Which Isolation type: client diagnosed with Chicken Pox?
Answer: Airborne Precaution
QUESTION
Which Isolation type: client diagnosed with Pneumonia?
Answer: Droplet Precaution
QUESTION
Factors Determining Use of Sterilization and disinfection Methods
Answer: -Nature of organisms present
-# of organisms present -Type of equipment -Intended use of equipment -Available means for sterilization and disinfection -Time
QUESTION
True
Answer: Soaps and detergents (nonantimicrobial agents) are considered adequate for routine mechanical cleaning of the hands and removal of most transient microorganisms
QUESTION
Personal Protective Equipment and Supplies
Answer: -Gloves -Gowns -Mask -Protective eyewear
QUESTION
Standard Precautions
Answer: -Used in the care of all hospitalized patients regardless of their diagnosis or possible infection status -Apply to blood, all body fluids, secretions, and excretions except sweat, nonintact skin, and mucocus membrane -New additions are respiratory hygiene/ Cough etiquette, safe injection practices, and directions to use a mask when performing high risk prolonged procedures involving spinal canal punctures
QUESTION
Aseptic Technique
QUESTION
Sterile procedure and prepares to pour solution onto a sterile gauze. pouring sterile solution.
Answer:
- Perform hand hygiene
- Remove the bottle cap.
- Place the bottle cap face-up on a clean surface.
- Pick up the bottle with the label facing toward the palm.
- Pour 1 to 2 mL into a receptacle.
- Pour the solution onto the gauze.
QUESTION
Sterile procedure preparing a sterile field
Answer: 1.Perform Hand Hygiene 2.Place sterile kit on clean dry flat work surface above waist. 3.open outside cover and remove package from dust cover. 4.grasp outer surface of tip of outermost flap. 5.Open outermost flap away from body, arm away from sterile field. 6.Grasp outside surface of edge of first side flap. 7.open side flap pulling to side. 8.repeat step 6.
QUESTION
Medical asepsis
Answer: is used for procedures such as placement of nasogastric tube, administering an enema, or performing oral care.
QUESTION
Medical asepsis
Answer: clean technique is also know as
QUESTION
Principles of Medical Asepsis
Answer: -When the body is penetrated and natural barriers such as the skin is bypassed the patient us susceptible to any microbes that might enter -Even though the intact skin is a good barrier against microbial contamination, a patient can become colonized with microbes if appropriate precautions are not taken
QUESTION
Surgical Asepsis
Answer: -Sterile technique is used to prevent the introduction or spread of pathogens from the environment into the patient -Refers to the procedures used to keep the object or areas sterile from micro organisms -To be sterile an object must be free from all microorganisms
QUESTION
A surgical asepsis
Answer: Sterile technique is required for procedures that could introduce infectious agents to the client, such as placement if indwelling urinary catheter, would dressing changes, or preparing injectable medications
QUESTION
Answer: Are signs of dehydration, which increases the risk for skin injury
The highest risk
Answer: The combination of advanced aging and dehydration puts the client at a
QUESTION
Lacerations
Answer: rough, irregular wounds caused by crushing or ripping forces
QUESTION
Contusion
Answer: s injury to the underlying soft tissue without a break in the skin.
QUESTION
Irradiation
Answer: a burn that occurs from ultraviolet or radiation exposure and an incision is break in the skin with wound edges in close approximation.
QUESTION
QUESTION
Incision
Answer: caused by a clean, sharp-edged object such as a knife, a razor or a glass splinter
Answer: the fourth and final phase in wound healing and lasts from 21 days up to 2 years. Also known as remodeling
QUESTION
Stages of Infection
Answer: Incubation period Prodromal stage Full stage illness Convalescent period
QUESTION
Incubation period
Answer: organism growing and multiplying
QUESTION
Prodromal stage
Answer: person is most infectious
QUESTION
Full stage illness
Answer: Presence of specific signs and symptoms of disease
QUESTION
Convalescent period
Answer: Recovery from the infection
QUESTION
Hand hygiene
Answer: is the priority intervention for decreasing the spread of infection.
QUESTION
Prodromal Stage
Answer: During which stage of infection is the patient most contagious
QUESTION
Body's Defense Against Infection
Answer: -Normal flora in the body -Inflammatory response -Immune response
QUESTION
Cardinal Sign of Acute Infection
Answer: -Redness
-Bloodstream Infection -Ventilator-associated Pneumonia -UTI
QUESTION
Transmission Based Precautions
Answer: -Airborne -Droplet -Contact
QUESTION
Airborne examples
Answer: -TB -Varicella (Chicken pox) -Rubeola (Measles)
QUESTION
Droplet Examples
Answer: -Flu -Meningitis -Mumps -Pneumonia
QUESTION
Contact Example Answer: -Methicillin-resistant staphylococcus aureus (MRSA) -Vancomycin-resistant enterococcus
-C.Diff
QUESTION
Airborne description/rules
Answer: Wear N95 mask when entering room; must have private room with monitored air pressure
QUESTION
Contact
Answer: Use gloves when entering room. Wear gown if you'll be in close proximity to patient; Private room or share a room with a patient with the same microorganism
QUESTION
Droplet
Answer: Wear regular/surgical mask if within 3ft of pt; pt wears mask when transported from room; private room or share a room with a patient with the same microorganism
QUESTION
Presence of biofilm
Answer: Thick grouping of microorganisms
QUESTION
Prealbumin
a. Hemostasis b. Inflammation c. Proliferation d. Maturation
QUESTION
Desiccation
Answer: dehydration
QUESTION
Maceration
Answer: Overhydration
QUESTION
Stage I
Answer: Nonblanchable erythema of intact skin
QUESTION
Stage II
Answer: Partial-thickness skin loss with exposed dermis
QUESTION
Stage III
Answer: Full-thickness skin and tissue loss
QUESTION
Stage 4
Answer: Full-thickness skin and tissue loss
QUESTION
Unstageable
Answer: Obscured full-thickness skin and tissue loss
QUESTION
Deep tissue pressure injury
Answer: Persistent nonblanchable deep red, marron, or purple discoloration
QUESTION
Evisceration Answer: the uncontrolled exteriorization of intraabdominal contents through the dehisced surgical wound outside of the abdominal cavity.
QUESTION
Fistula
Sanguineous
Answer: bright red, indicative of active bleeding
QUESTION
Principles of wound healing
Answer: -edges of a healthy healing surgical wound are clean with edges that are well approximated, a crust along the wound edges is often present. When the edges do not approximate or become separated the nurse should monitor for dehiscence or complications of healing. -Initially, the edges are reddened and slightly swollen and bruised. -Exudate is drainage from the wound and is expected as it heals.
QUESTION
Proliferation Phase
Answer: In which phase of wound healing is new tissue built to fill the would space, primary through the action of fibroblasts
QUESTION
Wound Assessment Inspection
Answer: sight and smell
QUESTION
Wound Assessment Palpation
QUESTION
Answer: appearance, drainage, and pain
QUESTION
Color Classification of Open
Answer: -R -Y -B -Mixed wound
QUESTION
R/Red
Answer: Protect
QUESTION
Y/Yellow
Answer: Cleanse
QUESTION
B/Black
