Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
concept of nursing 1
infection
| Question | Answer |
|---|---|
| Which innate immune functions provide immediate protection from foreign antigens? | Phagocytosis of identified foreign cells, External secretions neutralizing antigens,Stomach acid-destroying bacteria, Identifying malignant cells as foreign |
| What is the most accurate conclusion by the nurse about a patient’s immune system when assessing well-healing wounds that were contaminated during a car crash? | Innate immunity is being effective. |
| Which patient finding should the nurse report to the provider? | Monocytes 5.1 × 109/L |
| Which humoral immune events separate it from cell-mediated immunity? | Recognition of antigen non-self-markers, B lymphocytes releasing specific antibodies, Binding of antibodies to foreign antigens,Chemotaxis from immune complex formation |
| In which order does humoral immunity react when stimulated by an invading foreign antigen? | 1) B lymphocytes become sensitized to foreign antigen. 2) Complement assists with antibody attachment to antigen. 3) White cells destroy antigen-antibody immune complexes 4) Memory cells are synthesized for future antigen recognition. |
| The nurse will anticipate administering a prescribed antibiotic to a patient with which infection? | Staphylococcus aureus |
| Which actions will the nurse avoid to prevent indirect transmission of pathogens when caring for a patient with an infection? | Handling medical equipment, hanging patient linens, Removing food trays, Disposing of tissues |
| Which statement by the patient on droplet precautions indicates understanding of how to prevent the spread of infection? | “I’ll cover my mouth whenever coughing or sneezing.” |
| Which patient assessment indicates the patient has a chronic infection? | Persistent fatigue |
| Match the situation with its definition. | Isolation-Separates those with disease from those without disease, Quarantine- Restricts movement of those exposed to an infectious agent, Protective isolation- Prevents exposure of person with compromised immunity from others |
| Which action by the nurse contributed to a patient developing a health care–associated infection (HAI)? | Use of alcohol-based hand cleaner prior to inserting an indwelling urinary catheter |
| Which action will the nurse take when caring for a patient with drug-resistant Clostridium difficile (C-Diff) to prevent spreading the infection to other patients? | Teach the patient to wash hands after toileting. |
| The nurse will take which action when caring for the patient admitted with influenza? | Place in a single room on droplet precautions |
| Which action will the nurse take when implementing standard precautions? | Donning gloves prior to administering a patient intramuscular injection |
| Which collaborative intervention does the nurse determine to implement for the patient with an infection, pain, and fever? | Acetaminophen |
| Which intervention does the nurse determine addresses the collaborative goal of “eradication of the pathogenic agent”? | Oseltamivir prescribed for influenza |
| Which action does the nurse determine to take based on findings of a localized, purulent, infected leg lesion? | Prepare the patient for incision and drainage. |
| Which patient findings does the nurse determine to report to the provider because they indicate progression of the patient’s infection to sepsis? | Change in mental status to mild disorientation, Heart rate 102 beats per minute, Urine output to less than 30 mL/hour, Cold, clammy skin with pale appearance |
| When assessing a patient with a respiratory infection, the nurse will anticipate which abnormal findings? | Lung crackles, Wheezes, Greenish sputum, Heart rate 102 bpm, Oral temperature 101°F |
| What conclusion can be drawn by the nurse when a patient shows no improvement in assessment baseline after two weeks of treatment for an infection? | Collaborative interventions were ineffective. |
| Which statement by a patient can the nurse determine indicates the need for further teaching about a prescribed anti-infective medication? | “I can miss a dose as long as I take it the next time the dose is due.” |
| The nurse determines to take which action based on the patient’s assessment finding of cloudy, foul-smelling urine? | Encourage increased fluid intake. |
| Which clinical manifestations of sepsis differentiate it from a systemic infection? | Oliguria, Hypotension, Confusion, Hypothermia, Low platelets |
| Match the type of immunity with the source from which it is obtained. | Natural active- Disease, Artificial active- Immunization, Natural passive- Breast milk, Artificial passive- Serum injection |
Created by:
Lightnning54
Popular Medical sets