concepts of nursing Word Scramble

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Question	Answer
A patient infected with which pathogen cannot be treated with antibiotics because the infectious agent has a protective envelope?	virus
Which precautions will be implemented for a patient admitted for suspected West Nile virus?	standard
Which patient is considered to be a susceptible host in the chain of infection?	70-year-old with diabetes learning about insulin therapy
Which infections are considered health care–associated infections (HAIs)?	Urinary tract infection related to indwelling catheter Pneumonia related to presence of ventilator Wound infection related to surgical incision
Which factor contributed to the development of a health care–acquired respiratory infection in an ambulatory diabetic patient receiving an intravenous antibiotic?	Current comorbidity
The nurse recognizes which microorganisms as blood-borne pathogens that can be transmitted by needlesticks?	Hepatitis B virus (HBV) Human immunodeficiency virus (HIV)
Prior to discharge, what will the nurse teach patients about prescribed antibiotics to help prevent antimicrobial resistance?	Take all of your medication for the full time prescribed.
Antibiotic use in animals contributes to human antimicrobial resistance through which effect?	Creates a reservoir of potentially resistant bacteria.
The nurse recognizes which infectious agents as having acquired drug resistance within health care settings?	Methicillin-resistant Staphylococcus aureus (MRSA) Vancomycin-resistant Staphylococcus aureus(VRSA) Vancomycin-resistant enterococci (VRE) Clostridium difficile (C-Diff)
The nurse recognizes which function as an adaptive immune response?	Triggering lymphocyte production
Which type of immunity protects a person from infection after receiving a skin laceration?	Innate immunity
Which type of immunity provides long-term, active immunity for an individual who recovered from a viral infection?	Adaptive immunity
The nurse understands that the innate immune response involves which components?	A. Fungi B. Low stomach pH C. Skin D. Capillary dilation
Introducing the patient’s normal flora into which body area increases the risk for infection?	Urinary bladder
Which component is part of innate immunity and participates in the inflammatory response?	Leukocytes
The nurse recognizes which characteristics of adaptive immunity?	-Acquired throughout a person's lifetime -Complex, highly organized system -Requires exposure to specific antigens -Generates antigen-specific defenses
Which event occurs first when the adaptive immune system is stimulated by an invading antigen?	Decoding of non-self-marker on antigen surface
Which type of immunity will a nurse have after receiving the required three immunizations for HBV (hepatitis B)?	Artificially acquired active immunity
Reviewing data collected during the assessment assists the nurse with which part of the nursing process?	Planning
Which nursing diagnosis takes priority for a patient with an open draining wound, fever, and nausea?	Imbalanced Nutrition
Which patient behavior supports the nursing diagnosis of Knowledge Deficit?	Inability to perform incisional care.
Which nursing diagnosis will the nurse add to the care plan after noting an open pressure ulcer on the patient’s coccyx during assessment?	Impaired Skin Integrity
“Patient will demonstrate correct handling of dirty and clean dressings” is a measurable patient-centered goal for which nursing diagnosis?	Knowledge Deficit
Which are measurable data that can be used to support if a patient is meeting infection-related goals?	Hand washing Perspiring Pain Fever
Which goal is realistic for a hospitalized patient who has an infection with the nursing diagnosis of Nutrition Imbalance, Less Than Body Requirements?	Patient will eat 75% of meals by the end of 3 days.
What should the nurse do when a patient with a wound infection shows no improvement in assessment baseline after a week?	Review interventions to determine need for revision.
The nurse must have a written or oral order when implementing which nursing actions?	Administering an oral medication Beginning an intravenous (IV) infusion
Which actions will the nurse take for a patient who is experiencing discomfort from an infection?	Assess pain on scale of 1 to 10. Position patient to relieve discomfort. Encourage diversion such as relaxation.
Which individuals are more likely to be involved in an intentional injury?	An adolescent female with severe depression A young adult male with a history of violence A middle-aged female who is a known child abuser
The nurse enters a room and notices that the patient’s bed is very high up off the ground, posing a safety risk. What step in the nursing process is this?	Assessing
The nurse is walking down the hall and witnesses a small child dumping his juice on the floor. The parent acknowledges the incident but does nothing to stop it. What is the appropriate nursing action to promote safety?	Clean up the juice immediately.
An adolescent boy is brought to the ER after consuming a bottle of his mother’s sleeping pills. A suicide note was left beside his bed. What type of injury is this?	Intentional
Which are examples of unintentional injuries?	Falls Drowning Fire-associated injuries
Which provides specific performance-related patient safety outcomes?	National Patient Safety Goals (NPSGs)
Why was The National Center for Injury Prevention and Control established?	To decrease the mortality rate. To reduce cost associated with injuries. To reduce the number of patients on disability.
The Institute of Medicine published To Err is Human more than a decade ago and we still use this document to guide our safety practices within the hospital setting. What performance standards has The Joint Commission developed from this?	National Patient Safety Goals
A nurse is teaching a student nurse about The Joint Commission’s National Patient Safety Goals. Which statement shows further teaching is needed?	“Before administering medication, I will ask for the patient’s name.”
A nurse is teaching a student nurse about The Joint Commission’s National Patient Safety Goals. Which statement shows further teaching is needed?	"Before administering medication, I will ask for the patient's name."
A nurse is teaching a student nurse what The Joint Commission (TJC) might do while at a hospital renewing their accreditation. Which statements made by the student nurse demonstrates that the teaching has been effective?	“The surveyor may observe and talk to patients.” “It is likely that the surveyor will interview the staff.” “During an on-site survey, the surveyor will trace patient care.” “A hospital’s information and documentation is reviewed during accreditation.”
Quality and Safety Education for Nurses (QSEN) project is increasing emphasis for patient safety. In what way has it impacted actual initiatives and regulations?	Using national resources for professional development to focus attention on safety in hospital settings
How does QSEN ensure that nurses advance quality and safety in future health care settings?	By preparing nurses with knowledge, skills, and a positive attitude
Which is an example of a patient-centered care nursing skill, as defined by the QSEN project?	Assess and treat pain and suffering in light of patient values, preferences, and expressed needs.
nurse has assignment w/family who's nervous about being in hospital. father admitted previous eve w/stroke, serious deficits. nurse assessed patient, began talking w/family. What are some interventions nurse can anticipate during care of patient, family?	Education about the diagnosis of stroke Pain management, as needed by the patient, per health care provider order Performing range of motion and positioning the patient so he is comfortable
nurse is educating a student nurse on the initiatives that guide nurses to ensure safety for their patients and environment. Which statements made by the student nurse demonstrates that the education has been effective?	“The QSEN project will continue to guide improvements and recommend safe practice.” “The Joint Commission continues to re-evaluate and recommend new safety goals each year.”
nurse is educating a student nurse on the initiatives that guide nurses to ensure safety for their patients and environment. Which statements made by the student nurse demonstrates that the education has been effective?	“The National Center for Health Statistics continues to examine injury and report patterns so we can work toward prevention.” “The Joint Commission (TJC) recommends that acute care hospitals enact a no-lifting policy and provide patient lifting equipme
What are purposes of hand hygiene?	Prevents the spread of infection Breaks the chain of infection Interrupts organism transmission
Which medical asepsis interventions by the nurse protect the patient from infection?	Cleaning patient bedside equipment routinely Disposing of used needles in sharps containers Providing leak-proof receptacles at bedside for tissues Preventing contamination of intravenous sites and ports
Which actions are required by the nurse when preparing for a sterile procedure?	Keeping sterile surfaces dry Setting up the sterile field Checking packaging integrity Monitoring activities of others
Which action did the nurse recognize as a breach in surgical asepsis that contaminated the sterile field?	Provider reached over sterile field to pick up a towel
Equipment being used to enter a sterile body cavity must undergo which procedure?	Sterilization
Which step is first in the sequence for donning personal protective equipment (PPE)?	Hand hygiene
The nurse will don a fitted N95 respiratory mask when caring for a patient with which infection?	Tuberculosis
Which statements best describe the purpose for greeting the patient and explaining the need for personal protective equipment (PPE)?	Eases fear and misunderstanding Creates a professional relationship Builds a trusting relationship
It is permissible for the nurse to use alcohol-based hand sanitizer on which occasion?	Nothing can be visibly seen on hands
After educating a patient about respiratory etiquette, which behavior indicates the need for additional teaching?	Reusing tissues for a productive cough
Which nursing student’s note will the nurse correct?	Standard precautions used during bed bath and mouth care.
The nurse will implement contact precautions when learning that a patient is being admitted with which infection?	Hepatitis A
By which means are pathogens transmitted through droplets and require infected patients to be placed on protective precautions?	Coughing Sneezing Suctioning Talking
A patient with which infection will be admitted to the airborne infection isolation room?	Varicella zoster
Which action to reduce the spread of infections is the nursing taking by avoiding going to work when sick?	Personal
Communities can help reduce infections among their citizens by engaging in which actions?	Encouraging and facilitating immunization programs
The Centers for Disease Control and Prevention (CDC) applies the term quarantine to which group(s)?	People Animals Cargo Buildings
Isolation	Separates sick and contagious people from others
Quarantine	Separates people exposed to a contagious disease
Protective isolation	Separates people with weak immune systems
Which patient’s symptoms are consistent with a chronic inflammatory disorder?	45-year-old with pain and swelling of the knees from arthritis
Which patient (susceptible host) is at greatest risk for developing an infection?	70-year-old with diabetes and an indwelling urinary catheter
The nurse recognizes that a patient’s surgical incision is no longer inflamed, but infected, by noting which finding?	Greenish drainage
The nurse recognizes which manifestation indicates systemic infection and warrants further patient assessment?	Temperature 101.3°F (38.5°C) orally
Which are strategies for collecting patient assessment data?	-Performing a general assessment -Speaking with the patient's family -Performing the physical assessment -Obtaining a thorough history
Which patient objective findings alert the nurse to the presence of infection or the risk for infection?	-Pressure ulcers -Enlarged lymph nodes -Hyperactive bowel sounds -Decreased breath sounds
Which blood test specifically indicates the presence of an active inflammatory response rather than infection?	Erythrocyte sedimentation rate (ESR)
Which laboratory finding is abnormal and must be reported to the health care provider?	Serum complement 140 hemolytic units
Which piece of personal protective equipment (PPE) would the nurse consistently don when anticipating that contact with a patient’s body secretions will be possible?	Gloves
Person to person	Contact
Coughing, sneezing	Droplet
Suspended particles	Airborne
Herpes simplex virus (HSV)	Contact
Rubella
Rubeola
Which type of infection would a nurse suspect when caring for a patient who has a prescription for a clostridium difficile test?	Gastrointestinal Infection
a nurse caring for a patient with an infection would anticipate a temperature less than _____ when the infection has resolved?	100.4
Which actions by the nurse would be considered independent nursing interventions?	Counseling a patient Repositioning a patient to enhance comfort Teaching a postoperative patient how to prevent surgical site infection

Created by: colby.caswell