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NURS210C (Unit 1)
NURS210 - Clinical
| Question | Answer |
|---|---|
| What is the most effective method of infection control? | Washing your hands |
| When should you wash your hands with hand sanitizer? | Before and after patient care |
| When should you wash your hands with soap and water? | 1. Before and after invasive procedures, 2. After your hands have been soiled, 3. In the NICU, PICU, and ICU, 4. When dealing with CDif |
| What should the condition of your hands be at all times? | Short, clean nails, no jewelry, check for breaks and cover them if present |
| Where should your hands be relative to your elbows while washing? | Hands should be below elbows so that soap and water flow downward off the hand |
| What are standard isolation precautions? | 1. Apply to all patients 2. Use gloves 3. Use gown if needed 4. Use goggles if needed |
| Where are blood-borne pathogens found? | In all secretions, including from open skin wounds, bowel movements, and coughs |
| What are transmission-based precautions? | 1. Mask 2. N95 Mask (TB) 3. Private room unless patients have the same disease 4. Patient mask when in transport 5. (Some cases) Negative pressure room |
| What are droplet precautions? | 1. Private room or with others with the same illness, 2. Mask when within 3ft of patient, 3. Avoid transport unless necessary 4. Patient surgical mask for transport |
| What are contact precautions? | 1. Private room or with others with the same illness, 2. Limit patient's movement outside room, 3. Always wash hands with antimicrobial soap and water |
| Where do you put needles after use? Why? | Red biomedical hazard boxes, so that they cannot be accesses by other nurses, patients, and they cannot accidentally stab someone |
| Where do you put soiled linens? Why? | Put soiled linens in red biomedical hazards bags so that they can be burned and do not spread a disease |
| Which piece of personal equipment can be washed and reused? | Goggles |
| When should the fowler's position (45 degrees) be used for a patient? | Up to 30 minutes after eating and in cases of respiratory illness |
| When should the semi-fowler's position (30 degrees) be used? | In cases of respiratory illness |
| When should the high-fowler's position (60-90 degrees) be used? | While eating |
| In cases of severe respiratory illness, which position should be used for a patient? Why? | Tripod or Orthopneic position, which expands the lungs and makes breathing easier |
| What is a supine position and when should it be used? | A patient in the supine position lies flat on their back. This should be used in cases of spinal injury and cardiac catheters |
| What is the prone position and what is the benefit of it? | A patient in the prone position lies flat on their stomach, the only way for full extension of hips and knees. It's used for leg amputees to relax their muscles |
| What is the lateral position and when should it be used? | Lateral can be used for repositioning an unconscious patient for blood flow or for a conscious patient for comfort |
| What is the Sim's position and when should it be used? | A patient in the Sim's position lies half on their stomach and half on their side. It should be used in unconscious patients to help the flow of secretions |
| How often should a nurse reposition an unconscious patient to ensure good blood flow? | Every two hours |
| What age demographic does not need daily baths and why? | The elderly, because their skin is thin and breaks down easily, which can cause loss of protection and risk of infection |
| What is the most important thing to skin health? | Nutrition |
| How often should you use moisturizers for malnourished skin? | As needed |
| Which areas should you pay close attention to while bathing a patient? | Armpit, groin, underboob, between toes |
| Which demographic needs to actively check their feet everyday and why? | Diabetic, because they often cannot feel their feet |
| What does emaciated mean? | Skin-and-bone with very little muscle |
| How does obesity affect skin function? | Skin is unable to get a good blood supply because of obesity, leading to easier breaks and longer healing time, which equals risk of infection |
| What way do you rub while bathing a patient and why? | Distal to proximal, to support blood circulation to the heart |
| What are the benefits to bathing a patient? | 1. Decreasing infection risk 2. Cleaning body of dead skin 3. Increased circulation 4. Patient sense of well-being 5. Allows for head-toe assessment 6. Patient education 7. Range-of-motion |
| Why should you always bathe a patient with any kind of body odor? | It is a sign of growing bacteria |
| When cleaning a patient, when should you use a new rag? | With every new body part |
| Should you clean from least-most soiled or vice-versa? | Clean from least soiled to most soiled, so as to not spread germs from a soiled portion of the body to one that's clean |
| To what height should you bring the patient's bed whenever changing the sheets and why? | hip-height, because you love your back and don't want to hurt it |
| How often should you replace linens and what are the exceptions to this rule? | Everyday, the exception's are blankets and pillows or anything in case it's soiled |
| What should you be aware of when changing a bed? | 1. Needles 2. Personal patient items |
| What do you do when the patient's mattress gets soiled? | Clean it with disinfectant wipes and allow to dry before putting on clean linens |
| What are bath blankets? | Blankets with warm water and soap that you place over a patient and pat their skin with to bathe them |
| What do you always need to be careful of when helping a patient shower? | SLIPPING! Srsly. Be careful |
| Why should you always make sure there are no lumps in the sheets? | They can cause patients' skin to breakdown |
| What are therapeutic baths? | Independent or dependent baths for wounds and burns which always need to be documented |
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