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CONCEPTS 1 2

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WHAT IS THE DEFINITION OF MEDICAL ASEPSIS?
CLEAN TECHNIQUE. MEASURE TAKEN TO CONTROL AND TO REDUCE THE NUMBER OF PATHOGENS PRESENT SUCH AS HAND WASHING, GLOVING AND GOWNING
GIVE SOME EXAMPLES OF ISOLATION TECHNIQUE
STANDARD PRECAUTIONS, TRANSMISSION-BASED PRECAUTIONS
WHAT IS THE DEFINITION OF AN AIRBORNE MICRIOORGANISM?
CAN BE SUSPENDED IN AND TRANSMITTED BY SMALL-PARTICLE DROPLETS DISPERSED WIDELY BY AIR CURRENTS.
WHAT IS THE CORRECT PRECAUTION TO TAKE WITH A DROPLET-TYPE ORGANISM?
PERSONNEL MUST WEAR MASK WHEN WITHIN 3" OF PATIENT.PT MUST WEAR A MASK WHEN OUTSIDE OF ROOM, MAY BE IN A PRIVATE ROOM OR SHARE A ROOM WITH ANOTHER CLIENT WITH SAME MICROORGANISM
WHAT IS THE CORRECT PRECAUTION TO TAKE WITH AN AIRBORNE MICROORGANISM?
NEGATIVE AIRFLOW ROOM, CAREGIVERS TO WEAR MASKS, PATIENT TO WEAR MASK WHEN OUT OF ROOM
WHAT IS THE DEFINITION OF A DROPLET BORNE MICROORGANISM?
TRANSMITTED BY LARGER-PARTICLE DROPLETS WHICH DISPERSE INTO AIR CURRENTS
DEFINE DISINFECTION
THE CHEMICAL OR PHYSICAL PROCESS USED TO REDUCE THE NUMBERS OF POTENTIAL PATHOGENS FROM AN OBJECTS SURFACE
A DISINFECTANT IS A CHEMICAL USED OON A LIFELESS OBJECT... A CHEMICAL USED ON A LIVING OBJECT IS A______?
ANTISEPTIC
A _____ IS A CHEMICAL THAT KILLS MICROORGANISMS
BACTERICIDAL
A_______IS A CHEMICAL THAT PREVENTS BACTERIAL MULTIPLICATION BUT DOES NOT KILL ALL FORMS OF THE ORGANISM
BACTERIOSTATIC
WHAT TYPE OF CLEANSING TECHNIQUE WOULD YOU NEED TO USE IF PERFORMING IV INSERTION, CATHERITIZATION, INJECTIONS, DRESSING CHANGES?
STERILE TECHNIQUE
WHAT ARE THE 2 MOST COMMON METHODS OF STERILAZATION?
STEAM STERILIZATION AND GAS STERILIZATION
WHAT IS THE MOST WIDELY USED STERILIZATION TECHNIQUE FOR INSTRUMENTS?
STEAM STERIL.
WHAT TYPE OF GAS IS USED FOR GAS STERILIZATION?
ETHYLENE OXIDE
WHAT ARE THE 6 COMPONENETS OF THE CHAIN OF INFECTION?
1)INFECTIOUS AGENT
2)RESERVOIR
3)PORTAL OF EXIT
4)MODE OF TRANSMISSION
5)PORTAL OF ENTRY
6)SUSCEPTIBLE HOST
WHAT IS AN INFECTIOUS AGENT?
SOME MICROBIAL AGENT THAT HAS THE ABILITY TO CAUSE DISEASE
WHAT IS A RESERVOIR?
SOURCES OF THE ORGANISM SUCH AS INANIMATE OBJECTS, ANIMALS, OR HUMANS
PEOPLE WHO HARBOR PATHOGENS BUT HAVE NO SYMPTOMS OF THE DISEASE ARE KNOWN AS_____?
CARRIERS
WHAT IS A PORTAL OF EXIT?
THE MEANS BY WHICH THE MICROORGANISM LEAVES THE SOURCE
WHAT ARE THE FIVE MAIN ROUTES OF TRANSMISSION?
AIRBORNE, CONTACT, DROPLET, VECTOR, VEHICLE
FOREIGN PROTEINS THAT CAUSE THE FORMATION OF AN ANTIBODY THAT SPECIFICALLY REACTS WITH IT ARE ______?
ANTIGENS
WHAT ARE THE ELEMENTS OF THE NONSPECIFIC IMMUNE RESPONSE?
SKIN, NORMAL FLORA, MUCOUS MEMBRANES, REFLEX COUGH AND SNEEZES, ELIMINATION, AND AN ACIDIC ENVIRONMENT
NAME 3 CHEMICALS IN THE BODY THAT ARE RELEASED AFTER INITIAL INJURY FOR THE INFLAMMATION PROCESS?
HISTAMINE, BRADYKININ, SEROTONIN
WHAT ACCOUNTS FOR THE SWELLING OF TISSUES SURROUNDING AN INJURY?
INCREASED CAPILLARY PERMEABILITY( LEAKAGE OF LARGE QUANTITIES OF PLASMA OUT OF THE CAPILLARIES)
WHAT TYPE OF WBC's ENGULF BACTERIA AND NECROTIC TISSUE WHICH EVENTUALLY DIE AND FORM A CAVITY OF NECROTIC TISSUE AND DEAD ______?
LEUKOCYTES
DEFINE THE SPECIFIC IMMUNE DEFENSE?
AN IMMUNE RESPONSE MOUNTED AGAINST A SPECIFIC INVADING ANTIGEN.
WHAT IS THE PRIMARY ROLE OF THE T-LYMPHOCYTE(T-CELL)?
PRODUCED IN RESPONSE TO AN ANTIGEN, THSES CELLS MIGRATE TO THE AREA OF INJURY AND RELEASE LYMPHOKINES THAT ATTRACT OTHER PHAGOCYTES AND LYMPHOCYTES TO THE AREA OF INJURY AND ASSIST IN ANTIGEN DESTRUCTION
WHAT IS THE SECONDARY ROLE OF THE T-CELL?
IT STIMULATES THE PRODUCTION OF B CELLS, WHICH DIFFERENTIATE INTO PLASMA CELLS PRODUCING ANTIBODIES SPECIFIC TO THE ANTIGEN
DESCRIBE HUMORAL IMMUNITY
THE PROCESS OF ANTIBODY PRODUCTION BY B CELLS ON FIRST EXPOSURE TO AN ANTIGEN WHICH TAKES LONGER TO ACHIEVE.
DESCRIBE ACQUIRED IMMUNITY
ONCE EXPOSED TO AN ANTIGEN FOR THE FIRST TIME, B CELLS ARE ACTIVATED AND HUMORAL IMMUNITY IS PRODUCED, THEN MEMORY B CELLS ARE PRODUCED THAT REMEMBER THE ANTIGEN ANTIBODY PRODUCTION IS QUICKER ACTING THE NEXT TIME AROUND
WHAT ARE THE 3 TYPES OF VACCINATION?
1)INTRODUCTION OF DEAD ORGANISMS THAT ARE NO LONGER CAPABLE OF CAUSING DISEASE, BUT STILL HAVE THEIR CHEMICAL ANTIGENS.
2) INTRODUCTION OF TOXINS THAT HAVE BEEN TREATED WITH CHEMICALS SO THAT THEIR TOXIC NATURE HAS BEEN DESTROYED.
3)INRTODUCTION OF LIVE ORGANISMSTHAT HAVE BEEN RENDERED INCAPABLE OF CAUSING DISEASE.
GIVE AN EXAMPLE OF A DEAD ORGANISM VACCINATION?
PERTUSSIS AND DIPTHERIA
GIVE AN EXAMPLE OF A CHEMICAL-TREATED TOXIN USED FOR VACCINATION?
TETANUS AND BOTULISM
GIVE AN EXAMPLE OF LIVE ORGANISMS THAT HAVE BEEN RENDERED INCAPABLE OF CAUSING DISEASE?
POLIOMYELITIS AND MEASLES
WHAT ARE THE 4 STAGES OF THE INFECTIOUS PROCESS?
INCUBATION
PRODROMAL
ILLNESS
CONVALESCENT
DURING WHICH STAGE IS THE INFECTED PATIENT MOST INFECTIOUS?
INCUBATION
DESCRIBE THE PRODROMAL STAGE OF INFECTION?
PERIOD OF TIME FROM ONSET OF NONSPECIFIC SYMPTOMS TO ONSET OF SPECIFIC.
WHAT ARE THE 3 PHASES OF WOUND HEALING?
INFLAMMATORY, PROLIFERATIVE, AND MATURATION
APPROXIMATELY HOW MANY DAYS DOES THE INFLAMMATION PHASE LAST?
ABOUT 3 DAYS
APPROXIMATELY HOW LONG DOES THE PROLIFERATION PHASE LAST?
4-21 DAYS
DESCRIBE PRIMARY INTENTION IN REFERENCE OF WOUND HEALING?
OCCURS IN WOUNDS WITH MINIMAL TISSUE LOSS, EDGES ARE LIGHTLY PULLED TOGETHER, RISK OF INFECTIN IS LOW, SCARRING MINIMAL
DESCRIBE SECONDARY INTENTION IN REFERENCE TO WOUND HEALING?
FULL-THICKNESS TISSUE LOSS, EDGES DO NOT READILY APPROXIMATE, SCARRING MORE PREVALENT, INFECTION MORE LIKELY.
DESCRIBE TERTIARY INTENTION IN REFERENCE TO WOULD HEALING?
DELAY BETWEEN INJURY AND WOUND CLOSURE, DEEPER WIDER SCAR
WHAT IS THE DIFFERENCE BETWEEN A PRIMARY AND A SECONDARY LESION?
PRIMARY LESION IS THE FIRST TO APPEAR ON THE SKIN IN RESPONSE TO SOME CAUSATIVE AGENT; WHEREAS A SECONDARY LESION IS A PRIMARY LESION THAT HAS UNDERGONE CHANGES TO BECOME AS SUCH.
A LARGE, ELEVATED, FLUID FILLED LESION GREATER THAN 1 cm IS CALLED A_____?
BULLA
AN ELEVATED THICK-WALLED LESION CONTAINING FLUID OR SEMISOLID MATTER IS CALLED A _____?
CYST
A FLAT SKIN COLOR CHANGE GREATER THAN 1 cm IS CALLED A ______?
MACULE
AN ELEVATED SOLID LESION OF LESS THAN 1 cm IS CALLED A _____?
PAPULE
A RAISED SOLID LESION EXTENDING DEEPER INTO THE DERMIS IS CALLED A____?
NODULE
AN ELEVATED LESION LESS THAN 1 cm CONTAINING PURULENT MATERIAL IS CALLED A _____?
PUSTULE
LARGER THAN A NODULE, ELEVATED, FIRM LESION THAT MAY OR MAY NOT BE EASILY DEMARCATED IS CALLED A _____?
TUMOR
ELEVATED, SHARPLY DEFINED LESION CONTAINING SEROUS FLUID THAT IS LESS THAN 1 cm IS CALLED A _____?
VESICLE
ALSO KNOW AS A HIVE, SKIN ELEVATION THAT IS IRREGULARLY SHAPED DUE TO EDEMA THAT MAY COME AND GO IS CALLED A _____?
WHEAL
WASTING OF THE EPIDERMIS IN WHICH THE SKIN APPEARS THIN AND TRANSPARENT, SUCH AS OCCURS WITH ARTERIAL INSUFFICIENCY IS CALLED_____?
ATROPHY
A MOIST, DEMARCATED, DEPRESSED AREA DUE TO THE LOSS OF PARTIAL OR FULL THICKNESS EPIDERMIS, SUCH AS SEEN WITH RUPTURED CHICKENPOX VESICLES IS CALLED_____?
EROSION
A SUPERFICIAL ABRASION OF THE EPIDERMIS WITH VISIBLE SIGNS OF ITCHING, SUCH AS SEEN WITH ATOPIC DERMATITIS IS CALLED_____?
EXCORIATION
A DEEP LINEAR SPLIT THROUGH THE EPIDERMIS INTO THE DERMIS, SUCH AS THAT SEEN WITH TINEA PEDIS(ATHLETE'S FOOT) IS CALLED_____?
FISSURE
EPIDERMAL THICKENING RESULTING IN ELEVATED PLAQUE WITH ACCENTUATED SKIN MARKINGS, AS SEEN WITH CHRONIC ATOPIC DERMATITIS FROM REPEATED SCRATCHING IS CALLED _____?
LICHENIFICATION
WHAT ARE THE 3 TYPES OF EXUDATE?
SEROUS(CLEAR)
SEROSANGUINOUS(PALE-RED AND WATERY)
PURULENT(PUS)
WHAT IS A HYDROCOLLOID WOUND DRESSING USED FOR?
ABSORB EXUDATEPROTECTS FROM MACERATION
WHAT ARE HYDROGEL WOUND DRESSINGS USED FOR?
TO LIQUEFY NECROTIC TISSUE
WHAT ARE POLYURETHANE FOAMS USED FOR?
TO ABSORB LIGHT TO MODERATE AMOUNTS OF EXUDATE
WHAT KIND OF COMPLICATION DOES A LARGE HEMATOMA PRESENT?
MAY TAKE WEEKS TO REABSORB AND INHIBIT HEALING
WHAT NUTRIENTS ARE IMPORTANT TO HAVE IN THE DIET WHEN TRYING TO HEAL FROM A WOUND?
PROTEIN, C,A,B1,AND B5, ZINC
WHAT IS AN ANTIPYRETIC?
MEDICATION USED TO DECREASE FEVER ASSOCIATED WITH INFLAMMATION AND INFECTION
WHAT ARE THE MOST COMMON NURSING DX RELATED TO INFECTION AND BIOLOGICAL SAFETY?
RISK FOR INFECTION,
ALTERED PROTECTION,
IMPAIRED TISSUE INTEGRITY,
IMPAIRED ORAL MUCOUS MEMBRANE,
ALTERED NUTRITION,
KNOWLEDGE DEFICIT

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