記憶度
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1
the freedom from disease causing microorganisms; being free from infection
Asepsis
2
a detectable alteration in normal tissue function
Disease
3
the ability to produce disease
Pathogenicity
4
invasion of body tissue by microorganisms and their growth their
Infection
5
defined as all the measures we take to purposefully reduce the number of microorganisms (germs) to an irreducible number for the purpose of preventing transmission of infection.
Aseptic Technique
6
includes all practices intended to confine a specific microorganism to a specific area, limiting the number, growth, and transmission of microorganisms.
Medical Asepsis
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refers to practices that keep an area or object free of all microorganisms and spores (microscopic dormant structures formed by some pathogens that aver very hardy and often survive common cleaning techniques); Used for all procedures involving the sterile areas of the body
Surgical Asepsis
8
substances usually intended for use on persons that inhibit the growth of pathogenic but not necessarily destroys them.
Disinfectant
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the process by which all microorganisms inducing their spores are destroyed
Sterilization
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the process by which something is rendered unclean or unsterile
Contamination
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a chemical that kills microorganisms
Bactericidal
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an agent that prevents bacterial multiplication but does not kill all forms of microorganisms
Bacteriostatic
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live on other living organisms. they include protozoa such as the one that causes malaria, helminths (worms), and arthropods (mites, fleas, ticks)
Parasites
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include yeasts and molds. candida albicans is a yeast considered to be normal in the human vagina
Fungi
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consists primarily of nucleic acid and therefore must enter living cells in order to reproduce
Viruses
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the most common infection-causing microorganisms, several hundred species can cause disease in humans and can live and be transported through air, water, food, soil, body tissues and fluids, and inanimate objects
Bacteria
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the process by which strains of microorganisms become resident flora. The microorganisms may grow and multiply but do not cause disease.
Colonization
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when a culture of the persons’ blood reveals microorganisms
Bacteremia
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is limited to the specific part of the body where the microorganisms remain
Local infection
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if the microorganisms spread and damage different parts of the body
Systematic infection
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generally appear suddenly or last for a short time
Acute infection
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may occur slowly, over a very long period, and may last months or years
Chronic infection
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when bacteria results in systemic infection
Septicemia
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defined as an infection acquired at least 72 hours after hospitalization hospital-acquired infection.
Nosocomial infection
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microorganisms that cause nosocomial infections originate from the clients themselves
Endogenous
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from the hospital environment and hospital personnel
Exogenous
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direct result of diagnostic or therapeutic procedures
Iatrogenic infections
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microorganisms means
Etiologic Agent
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sources of microorganisms
Reservoir
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is a person or animal reservoir of a specific infectious agent that usually does not manifest any clinical signs of disease
Carrier
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before an infection can establish itself in a host, the microorganisms must leave the reservoir.
Portal of Exit from Reservoir
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involves immediate and direct transfer of microorganisms from person to person through touching, biting, kissing, or sexual intercourse
Direct Transmission
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be either vehicle-borne or vector-borne
Indirect Transmission
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subtances serving as an intermediate means to transport and introduce an infectious agent into a susceptible host through a suitable portal of entry
Vehicle-borne transmission
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is an animal or flying or crawling insect that serves as an intermediate means of transporting the infectious agent.
Vector-borne transmission
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may involve droplets or dust
Airborne Transmission
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before a person can become infected, microorganisms must enter the body.
Portal of Entry to the Susceptible Host
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is any person who is at risk for infection
Susceptible Host
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protect the person against microorganisms, regardless of prior exposure.
Nonspecific Defenses
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is a local and non-specific defensive response of the tissue or infectious agent
Inflammation
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Dolor means
Pain
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Calor means
Heat
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Rubor means
Redness
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Tumor means
Swelling
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is produced, consisting of fluid that escaped form the blood vesssels, dead phagocytic cells, and dead fibrinogen, thromboplastin, and platelets together form an interlacing network to wall off the area and prevent spread of the injurious agent.
Exudate Production
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first stage of inflammation, blood vessels at the site of injury constrict and then followed by dilation of small blood vessels thus, more blood flows to the injured area.
Vascular and Cellular Responses
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repair of injured tissues by regeneration or replacement with fibrous tissue (scar) formation
Reparative
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is the replacement of destroyed tissue cells by cells that are identical or similar in structure and function.
Regeneration
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which impair ciliary action and weakens the mucous barrier
Chronic pulmonary disease
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which impair skin integrity
Burns
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which restricts blood flow
Peripheral vascular disease
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which alter the production of white blood cells
Immune system diseases such as leukemia and aplastic anemia
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which deplete protein reserves
Chronic or debilitating diseases
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is a major underlying disease predisposing clients to infection because compromised peripheral vascular status and increased serum glucose levels increase susceptibility
Diabetes
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The nurse obtains the client's history, conducts the physical assessment, and gathers laboratory data
Assessing
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Signs and symptoms of an infection vary according to the body area involved
Physical assessment
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Signs of systemic infection include the following:
Fever, Increased pulse and respiratory rate if the fever is high, Enlargement and tenderness of lymph nodes that drain the area of infection
58
NANDA nursing diagnosis associated with infection: Risk for infection
Diagnosing
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The major goals for clients susceptible to infection are to: • Maintain or restore defenses • Avoid the spread of infectious organisms • Reduce or alleviate problems associated with the infection
Planning
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If infection cannot be prevented, the nurse's goal is to prevent the spread of the infection within and between persons, and to treat the existing infection.
Implementing
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is considered the most effective infection control measures to spread microorganisms
Hand Washing
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Signs and symptoms indicating the presence of infection: swelling, redness, pain or tenderness with palpation or movement, palpable heat at site, loss of function of affected body part, presence of exudate
Localized signs
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Signs and symptoms indicating the presence of infection: fever, increased pulse and respiratory rates, lack of energy, anorexia, enlarged lymph nodes
Systemic indications
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refers to a technique designed to prevent the spread of infection or potential infectious microorganisms to health personnel, clients, and visitor.
Isolation
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protects health care providers from inhaling respiratory pathogens transmitted by the droplet route.
Surgical Mask
66
has a soft knitted head band that offers greater comfort and a secure fit. The classic cone mask is convenient to use and provides excellent filtration at over 95% efficiency
Cone Mask
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constructed with a patented combination of materials to resist fluid penetration upon impact
Fluid Resistant/Fluid Mask
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particulate filter- respirator and surgical mask, pouch style. Meets or exceeds all CDC and NIOSH compliance requirements for tuberculosis protection
Tecnol N95 TB Mask
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Pt. placement: private room that has monitored negative air pressure
Airborne Precautions
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In all client situations: “WASH HANDS BEFORE and AFTER CLIENT CONTACT!”
Implementing Isolation Precautions
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Used in clients with known or suspected condition easily transmitted through direct client contact or by contact with clients item.
Contact Precautions
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Patient placement: Private room : Cohort or maintain spatial separation of 3ft from each other pts or visitors if private room is not available
Droplet Precautions
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This clients are often infected by their own microorganisms or from inadequately washed hands of the Health care provider.
Barrier Technique (Reverse Isolation)
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Isolation of clients can develop problems like separation and some special care due to their precautions.
Psychological Aspect of Isolation Precaution
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defined as the practice of techniques and procedures designed to reduce the number of microorganisms in an area or an object and to decrease the likelihood of their transfer.
Medical Asepsis