This precaution focuses on diseases that expelled into the air 3 to 6 feet. It requires the nurse to wear a surgical mask within 3 feet of the client.
Droplet precautions
What 3 types of patients are on droplet precautions?
Influenza, pertusis, and Meningococcal pneumonia pts
This precaution focuses on diseases that are transmitted through the air and remain in the air for a long period. It requires a room with negative air flow and doors are always closed in theis client's room.
Airborne precautions
What two types of patients are on Airborne Precautions?
Tuberculosis and chicken pox patients.
This type of precautions is sometimes called "reversve isolation". This is for pts with no wbc count, lowered immune system ( chemo therapy clients). It requires a positve airflow room with no flowers or plants.
Protective environment
Normal WBC count
5,000-10,000/mm3
What percent do neutrophils make up total wbc count?
55%-70%
What percent do lymphocytes make up totalt WBC count?
20-40%
What is increased in chronic bacterial and viral infection, but drecreased in sepsis?
Lymphocytes
True of or false. WBC/ neutrophils are increased in an acute infection.
True
You are caring for a client who underwent surgery 48 hours ago. On physical assessment, you notice that the wound looks red and swollen. The clients WBCs are elevated. you should:
1) start antibiotics
2) notify the physician
3) doc the findings and reassess in 2 hours
2) notify the physician
What must a client do to use a walker?
the pt must be able to lift it with both arms
What side does a pt use a cain when walking?
The cane is used on the stronger side and is placed 6-10 inches forward
Who governs hospitals using evidence baed recommendations that change every year
Joint Commission.
What 3 things are required for a nurse to use restraints?
1) if less restrictive measures have been used
2) the physician has given an order
3) less restrictive measures have already been used
What are some seizure precautions?
padded side rails, SUCTION set up (in case the pt vomits), loosen clothing, privacy, position client safely
What is any unanticipated event in the healthcare setting resulting in or serious physical/ physioloigcal injury to a pt(s) not realted to the course of the pt's natural illness.
