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37 Cards in this Set

  • Front
  • Back

OSHA lists standard safeguards to protect workers from health hazards related to blood-borne pathogens. The reason for the standards is there is:


A significant health risk associated with exposure to blood

How is hepatitis B transmitted?


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By sexual and/or blood-to-blood contact

Which hepatitis is the cause of most liver transplants?


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Hepatitis C

The virus that causes Acquired- Deficiency Syndrome (AIDS) is:


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Human Immunodeficiency Virus

How are blood- borne pathogens spread?

Quantity of pathogen present is enough to cause disease


Pathogen enters through the correct entry site


Pathogen must be present


Person is susceptible to the pathogen

What is the best way to protect oneself from blood-borne pathogens?


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Standard precautions

What is the major difficulty in treating a client with a condition caused by a multidrug resistant organism?


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The microorganisms have become so resistant that no available antibodies are effective against them

Prevention of multidrug resistant organisms in healthcare settings rely on appropriate clinical practices that are incorporated into all routine patient care. What components are part of an effective prevention plan?


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Prevention of lower respiratory tract infections


Optimal management of catheters


Report all contamination errors


Accurate diagnosis

Common multidrug resistant organisms include methicillin- resistant staphylococcus aureus (MRSA) and vancomycin- resistant enterococci (VRE)


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True

Antibiotic resistance occurs when bacteria change in some way that reduces or eliminates the effectiveness of substances designed to cure/prevent infections


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True

Repeated and improper use of antibiotics are primary causes of the increase in drug resistant bacteria


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True

The patient fell while being toileted by the nursing staff. By definition how would this fall be classified?

Anticipated physiological fall

The nurse completing in-patient admission assessments on a group of new patients. Based on the intrinsic factors present, which patient should the nurse identify as being at the highest risk for a fall? The patient who has:


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Decreased visual acuity, walking with a cane, and has arthritis

The nurse is determining steps that could be taken to reduce the patients extrinsic risks for falls. Which nursing intervention could the nurse plan to reduce the patient's extrinsic fall risk?


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Proper us of assistive devices


Condition of the flooring surfaces


Type and condition of footwear


Bathroom support equipment for the toilet and shower

Which fall prevention program is most likely to be effective?


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One which encompasses a number of different interventions and targets multiple risk factors

What is one benefit of implementing a standardized fall risk assessment at the time of admission?


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All necessary fall prevention resources that target specific risk factors can be implemented early

According to the CDC what is the purpose of Standard Precautions?


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Protect healthcare practitioners and patients from the spread of infections

What are the components of standard precautions?


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Hand hygiene


PPE


Safe handling of potentially contaminated equipment and surfaces in patient environment

What is the difference between standard precautions and transmission precautions? Transmission precautions are:


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Used when the routes of transmission are not completely interrupted by Standard Precautions alone.

When contact precautions are to be implemented, what protection is required of all healthcare personnel providing care to the patient?


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Donning gown and gloves for all interactions that may involve contact with the patient or potentially contaminated surfaces.

When should droplet precautions be implemented?


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On a admission for any patient admitted with complications related to influenza

When are airborne precautions implemented rather than droplet precautions?


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When the infectious agent has the ability to remain suspended in the air over long distances

When should soap and water hand hygiene be used rather than the preferred method of alcohol based hand rub?


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When hands are visibly soiled or after caring for patients with a known or suspected infectious diarrhea

What is the correct method for preforming alcohol-based hand hygiene?


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Apply the product to the palm and rub it onto all surfaces of the hands and fingers. Allow the product to air dry.

Always preform hand hygiene in which of the following situations?


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One exiting the patient room after touching the patient or patient supplies


After glove removal


Before touching a patient with or without donning gloves

Which principle should most guide the nurses' choice for selection of which pieces of personal protective equipment to don prior to beginning care of patient?


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The nature of the patient interaction and the potential exposure to blood, body fluids or infectious agents.

In what order should PPE be donned?


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Gown, face mask, goggles

Which principles should the nurse follow to correctly implement the use of a restraint for this client?


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The restraint chose must be the least invasive


Every two hours the staff will need to release the restraints to provide fluids, toileting and ROM

The letters in HIPPA stand for:


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Health Insurance Portability and Accountability Act

R.A.C.E. Stands for

Remove. Activate. Contain. Extinguish.

Code black is for

Severe weather

When a code yellow is called overhead the hospital staff should

Follow the external disaster plan

What items are proper alternatives to the use of restraints?


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...

Under the HIPPA Privacy rule, Protected Health Information (PHI) is health information which can be linked to a particular person including the individuals past, present or future physical or mental health or condition


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True

Which of the following statements is NOT true regarding the access and/or disclosure of Public Health Information (PHI)


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Since the HIPPA Privacy Rule protects only electronics and paper PHI, you may discuss patient information with your family and friends as long as you trust them to keep it confidential

It is permissible for me to look up a patients Electronic Protected Health Information (ePHI) on the computer when:


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The information I access pertains directly to the care I am delivering to the patient

All of the following are appropriate guidelines for healthcare practitioners realated to social media except:


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Post or share only information or photos gained through the nurse-patient relationship