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Fundamentals Safety Ch. 31 & 32

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Question
Answer
show factors affecting safety  
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show 1.age & development 2.lifestyle 3.mobility & health status 4.sensory-perceptual alterations 5.emotional state 6.ability to communicate 7.safety awareness 8.environmental factors 9.cognitive awareness  
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Children learn what is potentially harmful through____&____.   show
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show 1.home 2.workplace 3.community 4.health care setting 5.bioterrorism 6.disaster planning  
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The Centers for Disease Control and Prevention defines____.   show
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show (CDC) Center for Disease Control and Prevention  
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show every 30 minutes  
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show every 2 hours  
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show 1.informed consent 2.family  
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show restraining  
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show Mitigation Phase  
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Determine vulnerability in worst-case scenario is ex. of the____.   show
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show Preparedness Phase  
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show Recovery Phase  
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What does RACE stand for?   show
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show 1.Class A-paper, wood, upholstery, rags, ordinary rubbish 2.Class B-flammable liquids and gases 3.Class C-Electrical  
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show Class A  
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show Class B  
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Fire extinguisher that puts out electrical.   show
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Class A puts out___,___,___,___,&___.   show
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Class B puts out___&___.   show
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Class C puts out___.   show
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show 1.Pull out the extinguisher's safety pin. 2.Aim the hose at the base of the fire. 3.Squeeze the handle to discharge the material onto the fire. 4.Sweep the hose from side to side across the base of the fire until extinguished.  
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show Electronic safety monitoring device  
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A single temporary event that consists of an uncontrolled electrical neuronal discharge of the brain resulting in an interruption of normal brain functioning.   show
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Safety measure taken by the nurse to protect clients from injury should they have a seizure.   show
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Development of seizures in adults is most commonly related to___in the brain such as tumors, strokes, and trauma.   show
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show 1.tumors 2.strokes 3.trauma  
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show 1.) 60% 2.) 30%  
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___account for approx. 60% of__in__& 30% in___.   show
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Seizures are classified into 2 categories:   show
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Involve electrical discharges from one area of the brain.   show
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show 1.electrical discharges 2.one area 3.brain  
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show generalized seizures  
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show whole brain  
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show 1.Partial seizures involve electrical discharge from one area of the brain. 2.generalized seizures affect the whole brain.  
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Seizures that involve the entire body.   show
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show grand mal (tonic-clonic) seizures  
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Occurs when a current travels through the body to the ground rather than through electric wiring.   show
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Static electricity that builds up on the body is___.   show
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Electric shock occurs when:   show
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show Suffocation or asphyxiation  
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Suffocation or asphyxiation is__of__due to___.   show
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show Carbon Monoxide (CO)  
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show 1.odorless 2.colorless 3.tasteless gas 4.toxic  
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Exposure to (CO) or carbon monoxide can cause symptoms that inlcude:   show
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Prolonged exposure to CO can lead to:   show
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show (CO) carbon monoxide  
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show prolonged exposure to CO or carbon monoxide  
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show Restraints  
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Restraints can be classified as:   show
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show 1.to avoid &/or prevent purposeful or accidental harm to the resident/client. 2.to do what is required to provide medically necessary treatment that could not be provided through any other means.  
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show Chemical restraints  
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show 1.anxiolytics 2.sedatives 3.neuroleptic 4.psychotropic agents  
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show 1.Ativan 2.Xanax  
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Ativan & Xanax are ex. of____.   show
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show 1.Amytal 2.Seconal  
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show sedatives  
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Thorazine & Haldol are ex. of___.   show
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show 1.Thorazine 2.Haldol  
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show socially disruptive behavior  
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____are used to control socially disruptive behavior.   show
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Most common restraints for adults:   show
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show adults  
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___,___,&____can also be considered restraints.   show
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Restraints for infants & children include:   show
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Mummy restraints, elbow restraints, & crib nets are for___&___.   show
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show suffocation or asphyxiation  
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Invasion of body tissue by microorganisms & their growth there.   show
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show resident flora  
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The name of the microorganism that invades body tissue.   show
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show asymptomatic or subclinical  
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Some___can cause considerable damage.   show
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show 1.(CMV) cytomegalovirus infection in pregnant women 2.disease 3.unborn child  
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The ability to produce disease.   show
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Ability to produce disease.   show
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show asepsis  
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To decrease possibility of transferring microorganisms from one place to another.   show
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show 1.medical asepsis 2.surgical asepsis  
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Includes all practices intended to confine a specific microorganism to a specific area, limiting the number, growth, & transmission of microorganisms.   show
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show Medical Asepsis  
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show Surgical asepsis or sterile technique  
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4 major categories of microorganims cause infection in humans:   show
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Infections that originate in the hospital.   show
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show opportunistic pathogen  
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6 links that make up chain of infection:   show
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3 mechanisms for method of transmission:   show
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show Nosocomial infections  
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show 1.subgroup 2.(HAIs) health care-associated infections  
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A person or animal reservoir of a specific infectious agent that usually does not manifest any clinical signs of disease.   show
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Indirect transmission may be either___or____.   show
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show Indirect transmission  
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___involves immediate transfer of microorganisms from person to person through touching, biting, kissing, or sexual intercourse.   show
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show 1.microorganisms 2.touching 3.kissing 4.biting 5.sexual intercourse  
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show Direct transmission  
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show 1.droplets 2.dust  
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____ may involve droplets & dust.   show
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show reservoirs  
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show 1.sources 2.microorganisms  
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show carrier  
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show 1.harmless 2.beneficial  
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Most___are harmless & some are beneficial.   show
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A microorganism-free area.   show
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The process by which strains of microorganisms become resident flora.   show
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Infections can be:   show
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show local infection  
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show systemic infection  
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When a culture of the person's blood reveals microorganisms, the condition is called___.   show
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When bacteremia results in systemic infection, it is referred to as___.   show
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show 1.acute 2.chronic  
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__generally appear suddenly or last a short time.   show
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show 1.suddenly 2.short time  
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A___may occur slowly, over a long period of time, & may last months or years.   show
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Chronic infections may occur___,over a___, & may last___.   show
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The microorganisms that cause nosocomial infections can originate from which 2 sources?   show
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___can originate from endogenous & exogenous sources.   show
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___come from the clients themselves.   show
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show clients themselves  
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show 1.hospital environment 2.hospital personnel  
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show Exogenous sources  
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___are the direct result of diagnostic or therapeutic procedures.   show
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Latrogenic infections are the__result of ___or___.   show
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Most nosocomial infections appear to have___.   show
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show Nosocomial infections  
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An animal or flying or crawling insect that serves as an intermediate means of transporting the infectious agent.   show
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If patient has a bruised area on site of restraint, it must be___. If so,___to come___.   show
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show 1.assess need for restraints 2.assess behavior 3.review agency policies 4.inspect area where restraint is to be placed 5.approach client in calm manner 6.provide privacy 7.apply appropriate size restraints  
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If nurse gives another person an order, & they do it incorrectly, it's the__.   show
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show nurse  
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The nurse is responsible for___for restraints.   show
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show 1.agency's specific policy 2.procedure  
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The__must know the agency's specific policy & procedure for restraints.   show
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show 1.clinically justified 2.medical treatment 3.plan of care  
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show Physician's Order  
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A physician's order is required unless there is a major emergency. In such an event, the nurse can restrain patient but must__it & get___.   show
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A physician's order must state:   show
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A___must state type of restraint, location, & specific behaviors for which restraints are to be used & must have a limited time frame & ongoing assessment by nurse.   show
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Proper nurse documentation should include:   show
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___by the nurse should include behaviors that necessitated use of restraints, procedure used in restraining, condition of body part restrained, evaluation of client's response, & remove prn from ROM etc.   show
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Soft music, pet therapy, & back massages are ex. of___.   show
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show (FEMA) Federal Emergency Management Agency  
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show Health Care Facility  
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Doing greatest good for greatest number of people.   show
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Person with pulse but gunshot vs. victim who is nearly decapitated is an ex. of___.   show
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Type of management used in ER.   show
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show capillary refill  
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show blanching  
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show keep the restraint on but chart complaints & procedures checked  
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show Mitigation Phase  
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show Preparedness Phase  
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Steps taken by staff in event of emergency.   show
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show Recovery Phase  
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show 1.planning 2.implementing disaster relief efforts  
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During external disaster, nurses collaborate with___, focus on___,___, &___.   show
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show external disaster  
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show 1.rescue 2.recovery  
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Rescue & recovery are___of___.   show
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The___along with other agencies enhance nurses' role.   show
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Community agencies that nurses collaborate with during external disaster includes___.   show
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show 1.hurricanes 2.tornadoes 3.earthquake 4.tsunami etc.  
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During__nurses play important roles in planning & implementing disaster relief efforts.   show
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show Health Care Facility  
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Follow Health Care Facility policy & procedure on__of___.   show
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A system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occurs.   show
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Risk management attempts to___&___.   show
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show 1.identify possible risks 2.analyze risk 3.evaluate steps taken 4.document assessments/findings 5.report significant changes in client's condition (facts only; no incident reports)  
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show Risk Management Nurse  
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One tool used in risk management.   show
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show risk management  
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show Incident -follow policies & procedures of agency  
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show Asepsis  
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Asepsis is the___of____.   show
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Includes procedures to reduce & prevent the spread of microorganims.   show
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Medical (clean) technique includes procedures to___or___the___of___.   show
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Eliminates all microorganisms.   show
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The surgical (sterile) technique eliminates___.   show
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show 1.hand hygiene 2.alcohol-based waterless antiseptic 3.clean dressing procedures  
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Hand hygiene, alcohol-based waterless antiseptic, & clean dressing procedures are all part of the___.   show
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Used during procedures that intentionally break the skin (IV's).   show
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Surgical asepsis is used during procedures that___.   show
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Surgical asepsis is used in:   show
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Surgical asepsis is used during procedures that intentionally break the skin (IV's),___or__,& procedures that involve___of___into____.   show
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show 1.) sterile object is sterile only when touched by another sterile object. 2.) Only sterile objects placed on sterile field. 3.) Sterile field contaminated by prolonged exposure to air. 4.) 1 inch or 2.5cm around border is considered contaminated.  
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show Principles of Surgical Asepsis  
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show air  
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___or___around___of sterile field is considered contaminated during surgical asepsis.   show
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Chain of Infection in order:   show
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show chain of infection  
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show localized infectious process  
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2 types of infectious process:   show
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Localized & systemic are 2 types of___.   show
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What is an ex. of a localized infection?   show
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show systemic infection  
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Systemic infection can be___.   show
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A___can be fatal.   show
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show 1.entire body 2.single organ  
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show 1.Incubation Period 2.Prodromal Stage 3.Illness Stage 4.Convalescence  
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The incubation period, prodromal stage, illness stage, & convalescence are all stages of___.   show
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Interval between entrance of pathogen into body and appearance of first symptoms is the___.   show
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The incubation period is the interval between___of___into body and appearance of first symptoms.   show
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The incubation period is the interval between entrance of pathogen into body &___of____.   show
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show Prodromal Stage  
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Signs & symptoms of being tired is an ex. of____.   show
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show 1.being tired 2.onset 3.nonspecific signs/symptoms  
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show Illness Stage  
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During the illness stage, client shows signs/symptoms of___.   show
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During this time, acute symptoms disappear.   show
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During the Convalescence stage,___.   show
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A protective reaction that neutralizes pathogens & repairs body cells.   show
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show 1.protective reaction 2.neutralizes pathogens 3.repairs body cells  
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The Inflammatory Process in order:   show
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Normal flora, body systems defenses, inflammation, vascular & cellular response, inflammatory exudates, tissue repair, & general adaptation syndrome (GAS)are the___.   show
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Stages of GAS or General Adaptation Syndrome:   show
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show Stages of GAS or General Adaptation Syndrome  
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show Alarm reaction stage  
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During the alarm reaction stage,___result in____&____.   show
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During the___, the body stabilizes.   show
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show body stabilizes  
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show Exhaustion Stage  
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show 1.resist 2.effects 3.stressor  
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Prevents soiling of clothes.   show
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Gowning prevents___of____.   show
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OSHA Guidelines for health care providers:   show
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show OSHA Guidelines for Health Care Providers  
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show 1.hands washed 2.gloves worn when touching body fluids. 3.masks worn for splash occurrences. 4.gowns are worn if soiling of clothing is likely. 5.equpment cleaned properly 6.discard sharp instruments properly  
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show Standard Precautions: Tier One  
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show 1.Airborne precautions 2.Droplet precautions 3.contact precautions  
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With airborne & droplet precautions, a___is worn.   show
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With___&____, a mask is worn.   show
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show 1.measles 2.mask  
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____would be practiced with measles & a mask would be worn.   show
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Droplet precautions would be practiced with___& a__would be worn.   show
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____would be practiced with mumps & a mask would be worn.   show
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show 1.(RSV) respiratory synctial virus 2.scabies  
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show Contact precautions  
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show 1.gloves 2.gown  
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show contact precautions  
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(PPE) Personal Protective Equipment includes:   show
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show full face protection  
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show splashing  
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show gloves  
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gloves prevent___of___by direct or indirect contact.   show
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show 1.direct 2.indirect contact  
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show 1.Fire 2.Electrical 3.Chemical  
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show 1.measures 2.ensure safe environment  
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show 1.smoke/fire alarms 2.plan of action (in case)  
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Electrical safety measures include making sure___is in___.   show
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show 1.out of reach 2.stored properly  
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show 1.complete 2.current 3.factual 4.current 5.organized  
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show Documentation  
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Provide workers & ER personnel with the proper procedures for handling or working with a particular substance.   show
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show 1.workers 2.ER personnel 3.particular substance  
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show state & federal laws  
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show 1.state 2.federal laws  
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show (MSDS) or Material Safety Data Sheet  
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show Incident Reports  
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show 1.breaches in safety & security 2.ethics committee 3.chain of command 4.incident reports-risk management tool 5.(HIPPA) Health Insurance Portability & Accountability Act  
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show 1.breaches 2.safety 3.security  
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show 1.process 2.reporting  
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show risk management  
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The__of__&___are parts of process for reporting.   show
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show False  
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show encourage wearing non-skid shoes  
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show 1.pad the bed 2.Turn client's head to side 3.Use suction equipment to suction oral airway 4.assist client to comfortable position  
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What statement, made by the nurse orienting a newly hired nurse to the unit, is correct regarding seizure precautions?   show
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After applying restraints to a client, the nurse notifies the provider & recognizes the provider must see the client within:   show
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The provider must re-evaluate the client for a new order every___.   show
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The client must be seen by the provider every___.   show
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show 1.provide range of motion exercises when restraints are removed. 2.orient the client. 3.assess tightness of restraints  
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show falls  
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The nurse has restrained the wrist of a client who keeps trying to pull the IV our. The nurse demonstrates goood nursing practice related to care of the client in a restraint by___.   show
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The nurse assesses a cyanotic appearance and cool temperature in the hand of a client wearing a wrist restraint. The client complains of numbness and tingling in the hand. What should the nurse do first?   show
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Which statement by a father indicates understanding of safety measures for his 3-year-old son?   show
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show An African-American male  
🗑
show Use a bed exit safety monitoring device  
🗑
When planning a safety seminar in the workplace for a group of middle-aged adults, what should be a primary focus?   show
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According to the 2000 Institute of Medicine report, To Err is Human: Building a Safer Health System, more people die from __________than from motor vehicle accidents, breast cancer, or AIDS.   show
🗑
show 1.anthrax 2.botulism 3.plague  
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A nurse applies restraints to a client who is combative. The nurse informs the physician and knows that the physician must see the client within what time frame for evaluation?   show
🗑
show Fungi  
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An ex. of an expected outcome for the client w/ a nursing dianoses risk for injury is:   show
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expected outcome for any nursing diagnosis would include___being able to___.   show
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show 1.Escherichia coli 2.Enterococci 3.Staphylcoccus aureus  
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The nurse notes hyperemia when evaluating the incision of a client. The nurse knows that this indicates what stage in the inflammatory response?   show
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What type of immunity is lost when a client develops human immunodeficiency virus (HIV)?   show
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Cellular immunity is lost when client develops___.   show
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A mother is planning on weaning her 5-month-old infant from breastfeeding. She says that the infant may get my infections, since the baby will not be getting immunity through her breast milk. What response by the nurse would be most appropriate?   show
🗑
show Droplet  
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A home health nurse has just changed a soiled dressing from an infected wound of a client's. After placing the soiled dressing in a paper bag provided by the client, how should the nurse dispose of it?   show
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show "Everyone who enters your room must wear a mask to protect themselves from tuberculosis."  
🗑
A client has been diagnosed with a urinary tract infection. What is the most likely cause of this infection?   show
🗑
The nurse is a bed exit safety monitoring device & places the sensor under the client's buttocks under the___.   show
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show 1.placing oral suction equip. at bedside & ensuring function. 2.padding headboard, footboard, & side rails. 3.placing oxygen & face mask in room.  
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___seeks to promote community health & health of our planet while creating healthier relationship between humans & the environment.   show
🗑
show National Safety Council  
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When inserting a central venous catheter,__is used.   show
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When applying a bandage after drawing blood,___is used.   show
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show surgical asepsis  
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When having the client shower with antibacterial cleanser prior to surgery,___is used.   show
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A client with a high fever has had blood cultures drawn that reveal the presence of pathogens circulating in the bloodstream. The nurse documents this as___.   show
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show urinary tract  
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___is most likely to cause infection in urinary tract.   show
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Salmonella is most likely to cause infection in___.   show
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___is most likely to cause infection in gastrointestinal tract.   show
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show bloodstream  
🗑
show Hepatitis B  
🗑
show lungs/pneumonia  
🗑
show Mycobacterium tuberculosis  
🗑
What are client's basic needs?   show
🗑
show 95? (35?C) or below  
🗑
show Smoking  
🗑
The majority of med errors occur during the ___ and ___ stages.   show
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What three types of medical errors accounted for 60% of safety incidents?   show
🗑
What is the most common factor precipitating a client's fall?   show
🗑
For restraints to be applied, a ____ assessment and ____ must occur.   show
🗑
Your patient required emergency restraints because they were choking themselves with a sheet. To CYA, you need to get ____.   show
🗑
show Skin and bony prominences  
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A belt restraint prevents?   show
🗑
____ restraints are commonly used on children to keep them from removing IVs.   show
🗑
A ____ restraint is useful when examining or treating a child's head or neck.   show
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show that doesn't move?  
🗑
show 1.check skin 2.integrity 3.pulses 4.temperature 5.color 6.sensation every two hours and slide two fingers under restraint  
🗑
show Side-lying  
🗑
Clients exposed to anthrax should?   show
🗑
show Streptomycin  
🗑
___is the primary cause of air pollution in schools, homes, & workplaces.   show
🗑
The majority of med errors occur during the ___ and ___ stages.   show
🗑
What three types of medical errors accounted for 60% of safety incidents?   show
🗑
What is the most common factor precipitating a client's fall?   show
🗑
For restraints to be applied, a ____ assessment and ____ must occur.   show
🗑
Your patient required emergency restraints because they were choking themselves with a sheet. To CYA, you need to get ____.   show
🗑
Prior to applying restraints, you should pad ___.   show
🗑
A belt restraint prevents?   show
🗑
____ restraints are commonly used on children to keep them from removing IVs.   show
🗑
A ____ restraint is useful when examining or treating a child's head or neck.   show
🗑
show that doesn't move?  
🗑
How do you ensure a restraint isn't compromising a patient?   show
🗑
show Side-lying  
🗑
show remove clohtes and store in labeled plastic bags, shower, and IV or oral fluoroquinolones  
🗑
____ is the post exposure prophylaxis of choice for botulism.   show
🗑
What type of pathogen consists primarily of nucleic acid & therefore requires entry into living cells to reproduce?   show
🗑
show artificial active immunity  
🗑
show 1.specific 2.active  
🗑
The client who is immobilized for the next 4 months is at risk for developing pneumonia & the nurse appropriately assigns the nursing diagnosis: "Risk for infection related to inadequate primary defenses: stasis for secretions" True or False   show
🗑
Client & family need to know how to keep their surroundings clean in order to prevent spread of infection is ex. of___.   show
🗑
show infection control  
🗑
show infection protection  
🗑
Have clients demonstrate skills related to treatment of wounds is an ex. of___.   show
🗑
show standard precautions  
🗑
With Clostridium difficile, use___.   show
🗑
show airborne precautions  
🗑
With mumps, use___.   show
🗑
show Hepatitis B  
🗑
show Clostridium difficile  
🗑
show chicken pox  
🗑
show mumps  
🗑
show 1.gloves 2.eyewear 3.gown 4.mask  
🗑
show sterile items are more than 1 inch from the edge of the sterile field  
🗑
show maintaining a sterile field  
🗑
show LPN/LVN  
🗑
The nurse is exposed to a bloodborne pathogen & follows immediate self-care required before notifying supervisor. After notifying supervisor, the nurses next priority action is to___.   show
🗑
Nurse experiences exposure to blood & requires initiation of treatment immediately based on CDC guidelines if the client tests positive for__.   show
🗑
show Hepatitis B  
🗑


   

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