NUR 101 Final 1
- Regulatory agencies
Answer · center for medicare (Over 65+ and ESRD) and Medicaid (CMS low income)
· The joint commission (TJC)
JACHO accredit hospitals and facilities based on standard of care
· National academy of medicine (NAM)
- How to avoid falls
Answer use assistive movement equipment, know MORSE fall score, patient safety side rails up, call light in bed
- how to avoid pressure ulcers
Answer move q 2 hrs, take heels of feet off bed, assess all bony prominences, make sure patient does not stay wet or moist for an extended period of time (proper peri care/hygiene)
- how to avoid health care associated infections
Answer use baseline precautions, make sure proper hygiene is performed
- Quality indicators
Answer Measurable elements of quality that specify the focus of evaluation and documentation
- restraint alternatives 1 / 4
Answer
- bed alarm
- sitter
- put person closer to nurses station
- distraction (family, TV show, knitting etc)
- mittens
- belt
- types of physical restraints
Answer mittens, soft limb ties, seat belts, vest, wrist restraints, siderails, over-bed table
8. SBAR
Answer Situation Background Assessment Recommendation
- infection
Answer the invasion and multiplication of microorganisms in body tissue
- acute infection
Answer comes on rapidly, with severe but short-lived effects
- chronic infection
Answer can last longer than 12 weeks could be incurable
- disseminated infection
Answer Infection spreads beyond the primary site of infection 2 / 4
- sepsis
Answer Dangerous infection of the blood
- chain of infection
Answer infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host
- bacteria
- one celled organism
Answer
- synthesize DNA, RNA, proteins therefore reproduce on their own
- cellular damage to host by releasing toxins
- virus
- nucleic acid in shell
Answer
- must invade hose cell to replicate
- blocking normal protein synthesis
- fungi
Answer YEAST
- single cells
- occurs when person has some immuncomprimise
- protozoa 3 / 4
- nucleus like plant/animal
- usually no disease unless person is immunocompromised
- found in H20, soil, decompsition
- Local signs and symptoms of infection
- redness
Answer
- swelling
- pain
- drainage
- warmth
- systemic signs and symptoms of infection
- fever
Answer
- chills
- malaise
- What does a CBC differential include?
Answer
- WBC (4-11,000)
~Neutrophils *segmented (mature) // bands (immature) [do not want to see a lot of bands because that means bone marrow is having to put out a lot of immature cells to try and fight because older ones are dying off fast] ~ lymphocytes ~ monocytes ~ eosinophils ~basophils
- primary prevention for infection
- / 4