Fundamental Nursing Exam 2 IUPUI Flashcards | Quizlet

What is the most frequently seen nosocomial infection?

Catheterization associated UTI (CAUTI).

What are the four common sites of health care associated infections?

Urinary tract, surgical or trauma wounds, respiratory tract, and blood stream.

What are the clinical signs of a localized infection?

Swelling, redness, heat, pain or tenderness.

What are the clinical manifestations of a systemic infection?

Fever, leukocytosis, malaise, anorexia, nausea, vomiting, lymph node enlargement, and organ failure.

Medical Asepsis

Also known as clean technique; includes procedures for reducing the number of organisms present and preventing the transfer of organisms.

Surgical Asepsis

Also known as sterile technique; includes procedures used to eliminate all microorganisms, including pathogens and spores, from an object or area.

How long is an opened container of Normal Saline good for, and what must be marked on it?

It is good for $24\text{ Hours}$, and must be marked with Date, Time, and initials.

What are the rules regarding the outer border of a sterile field?

The outer $1\text{ inch}$ around the border is considered contaminated and can be touched without sterile gloves.

What precautions and room requirements are mandatory for Airborne Precautions?

Private negative-pressure room with the door shut at all times, gown, gloves, surgical mask/yellow gown for patient transport, and personnel must be fit tested to enter.

Why must hand hygiene for Clostridium Difficile (C-Diff) be performed with soap and water?

Hands must be washed with soap and water because hand sanitizer does not kill the bacteria.

Stage 1 Pressure Ulcer

Intact skin presenting with nonblanchable redness that does not turn white when touched.

Stage 2 Pressure Ulcer

Partial thickness skin loss involving the epidermis, dermis, or both; commonly presents with blisters.

Stage 3 Pressure Ulcer

Full thickness tissue loss with visible subcutaneous fat.

Stage 4 Pressure Ulcer

Full-thickness tissue loss with exposed bone, muscle, or tendon, which may include undermining.

Unstageable Pressure Ulcer

Full-thickness tissue loss in which the actual depth of the ulcer is completely obscured by slough or eschar.

Deep Tissue Injury (DTI)

A purple or maroon localized area of discolored intact skin with tissue loss of unknown depth that occurs without trauma.

What do the letters stand for in the SKIN intervention acronym?

S: Surface Appropriate; K: Keep turning; I: Incontinence Management; N: Nutrition assessed.

Serous drainage

Clear, watery plasma fluid discharged from a wound.

Purulent drainage

Thick, yellow, green, tan, or brown wound discharge.

Serosanguineous drainage

Pale, pink, watery drainage composed of a mixture of clear and red fluid.

Sanguineous drainage

Bright red drainage that indicates active bleeding.

Dehiscence vs. Evisceration

Dehiscence is the partial or total separation of wound layers; evisceration occurs when a surgically closed wound separates and an internal organ protrudes through the opening.

What syringe volume and needle gauge are used for pressure ulcer irrigation?

A $35\text{ mL}$ syringe with a $19\text{ gauge}$ needle or catheter.

Penrose Drain

A flat, thin, rubber tube inserted into a wound to allow fluid to flow out onto a dressing via an open end.

What is the physiological function of erythropoietin produced by the kidneys?

It stimulates the bone marrow to produce red blood cells (RBCs) and prolongs the lifespan of mature RBCs.