Shared Flashcard Set

Details

Fundamentals Quiz 1
Patient Safety, UTI, Infection
133
Nursing
Undergraduate 3
03/30/2012

Additional Nursing Flashcards

 


 

Cards

Term

 

What are the elements of “STEEEP”?

 

Definition

 

Safe

 

Timely

 

Effective

 

Efficient

 

Equitable

 

Patient-centered

 

Term

What is the takeaway message of To Err is Human?

Definition

 

Errors are caused by faulty systems, process, and conditions that lead people to make mistakes or fail to prevent them.

 

Term

 

What is a Sentinel Event?

 

Definition

 

IT is an unexpected occurrence involving death or serious physical or psychological injury, or risk thereof.

 

Includes process variation for which a recurrence would carry a significant chance of serious adverse outcome.

 

Term

 

What does a "Sentinel" event signal?

 

Definition
It signals the need for immediate investigation and response.
Term

 

What are the elements of the “No Needless List?”

 

Definition

 

No needless deaths

 

No needless pain or suffering

 

No helplessness in those served or serving

 

No unwanted waiting

 

No waste

 

No one left out

 

Term

 

Definition of Medical Harm:

 

Definition

 

Unintended injury resulting from or contributing to by medical care (incl. absence of indicated medical treatment), that requires additional monitoring, treatment, hospitalization, or that results in death.

 

Term

 

Is unintended injury considered medical harm if it is not considered preventable?

 

Definition

 

Yes

 

Term

 

Is unintended injury considered medical harm if it was not a result of a medical error?

 

Definition

 

Yes

 

Term

Is unintended injury considered medical harm if it did not occur within a hospital?

Definition

 

Yes

 

Term

 

 

What are nurse-sensitive indicators?

 

 

Definition

 

They are outcomes most affected by nursing care.

 

Term

 

Patient-Safety Indicators:

 

Definition

 

An administrative-based tool developed by AHRQ.  They are increasingly being used to measure potential in-hospital patient safety problems

 

Term

 

What do Matthews and Pronovost suggest are among the best methods to improve quality and reduce the costs of care?

 

Definition

 

Standardization

 

Term

 

What does the Complex Adaptive Systems assert regarding “causality?”

 

Definition

 

It is bidirectional, not unidirectional, involving the interaction of two or more entities.  From these complex interactions emerge unpredictable behavior patterns leading to small changes that may or may not lead to wide-spread changes.

 

Term

What is the “Swiss Cheese Model” in regards to patient harm?

Definition

It visualizes an alignment of gaps in the system that result in harm.

Term

 

What is a “Near Miss?”

 

Definition

 

An event or situation that could have resulted in an accident or injury, or illness, but did not, either by chance or through timely intervention.

 

Term

What is an “Adverse Event?”

Definition

Adverse occurrences directly associated with care or services provided.

Term

 

What are “Active Failures?”

 

Definition

Errors and violations caused by workers closest to the “sharp end” or the system (e.g., patient care).

Term

According to Woods (1998), what is a major barrier to making progress in safety and quality?

Definition

Failure to appreciate the complexity of work.

Term

 

The cognitive or invisible work required in complex work environments is demanding and often has four characteristics:

 

Definition

 

Dynamism

 

Large number of parts and connectedness between parts

 

High Uncertainty

 

Risk

 

Term

Characteristics of High Reliability Organizations (HROs):

Definition

 

“Preoccupation with failure” – treat any lapse as a symptom that something is wrong. 

 

“Reluctance to simplify interpretations” – take deliberate steps to create a more nuanced picture of details surrounding a failed process

 

“Sensitivity to Operations” – maintain an ongoing concern with the unexpected.  HROs look for and deal quickly with latent failures before an event occurs

 

“Commitment to resilience” – Focus on detecting, containing, and bouncing back from adverse events.  Adverse events do not disable HROs.

 

“Deference to expertise” –Authority moves to people with the most expertise regardless of rank.

 

Term

 

What are some gaps and latent failures confronting nurses in the midst of care delivery?

 

Definition

 

-          Missing equipment

 

-          Interruptions

 

-          Waiting for access to needed systems and resources

 

-          Lack of time to complete interventions that were judged necessary to reach desired outcomes

 

-          Inconsistencies in how information was communicated

 

Term

 

What are some nurse strategies for dealing with, or adapting to, the gaps and latent failures controlling nurses in the midst of care delivery?

 

Definition

 

-          Anticipating, or forward thinking

 

-          Proactive monitoring of patient status to detect early warning signals (hyper vigilance!)

 

-          Strategic delegation and hand-off decisions to maintain flow of workload.

 

-          Individualized paper memory aids –  your “brain” – keeping you on task

 

-          “Stacking” management of activities to be done – highest priority is always changing!

 

Term

 

What are some factors that have contributed to Drug-Resistant Microbial Strains?

 

Definition

 

-          Overprescription of antibiotics

 

-          Use of inappropriate antibiotics for the infecting organisms

 

-          Incomplete use of antibiotic prescriptions as symptoms subside

 

-          Harboring and spreading of resistant organisms by carriers who remain symptom-free

 

-          Increased use of antibiotics in farming, thus contaminating milk and meat

 

Term

Does Vancomycin-resistant Enterococcus (VRE) infect patients that are healthy?

Definition

No, it typically infects patients that are already sick – requires a very susceptible host.

Term

 

What are some risks for acquiring drug-resistant infection?

 

Definition

 

-          Persons who have been previously treated with antibiotics

 

-          Persons who are hospitalized, particularly when they receive antibiotic treatment for long periods of time

 

-          Persons with weakened immune systems, (ICU, cancer, or transplant wards)

 

-          Persons who have undergone surgical procedures, such as abdominal or chest surgery

 

-          Persons with medical devices that stay in for some time (e.g., urinary catheters or central intravenous catheters)

 

Term

 

 

The term used to described those who have drug-resistant Staphylococcus aureus bacteria on or in their bodies but have not yest become ill through the infection of a wound or other area of tissue.

 

 

Definition

MRSA Colonization

Term

 

Where is MRSA often found on the body?

 

Definition

 

Nose, groin, underarm areas

 

Term

 

Once colonized with MRSA, how long can a person remain a carrier?

 

Definition

 

From a few weeks up to several years.

 

Term

 

During the colonization period, what is a big concern regarding MRSA carriers?

 

Definition

 

They are not only at an increased risk for infecting others, but also themselves.

 

Term

 

What is the most common method of contracting C. difficile diarrhea and colitis?

 

Definition

 

The use of antibiotics

 

Term

 

What is the “process” of a C. difficile infection ?

 

Definition

 

Antibiotics kill a large quantity of our “good” bacteria in the bowel and upsets the normal balance.  This decrease in the levels of good bacteria leaves the bowel open to be populated by increased numbers of unhealthy bacteria  Also leaves the bowel open.

 

Term

 

What is inflammation?  What causes it?

 

Definition

 

It is the body’s response to injury or infection.  Injury may be due to physical agents, chemical agents, or microorganisms.

 

Term

 

What is the term used to describe a protective vascular reaction that delivers fluid, blood, and nutrients to the injured area?

 

Definition

 

Inflammation

 

Term

 

What is the inflammatory response?

 

Definition

 

  Arterioles at injury dilate = increased blood flow = redness and warmth

 

Inflammatory mediators delivered to the site = increased permeability of vessels à edema

 

 Edema = pressure on nerves à pain

 

  WBCs ingest/destroy organisms and cellular debris à increased WBC count

 

Term

 

What are they types of exudate that accumulate at the injury site?

 

Definition

 

       Serous:  clear, like plasma

 

       Sanguineous : contains RBCs

 

       Purulent:  contains WBCs and bacteria

 

Term

 

What is the difference between Acute and Chronic infections?

 

Definition

 

Acute

 

Develop rapidly (e.g., common cold:1-2 days, flu: 1-3 days)

 

Chronic

 

Symptoms develop slowly, and may take months to resolve (Hepatitis B ,C )

 

Term

 

What is the characteristic of a localized infection?

 

Definition

 

It occurs at a specific site, and involves local inflammation

 

Term

 

What are the signs and symptoms of a localized infection?

 

Definition

 

Look for signs and symptoms of inflammation:

 

       Heat, redness, pain/tenderness, swelling

 

       Drainage (bloody, serous, purulent)

 

       Abscess (localized collection of pus)

 

       Cellulitis (involves cellular and connective tissue)

               

Term

 

What are characteristics of systemic infection?

 

Definition

 

Involves infection of one or more parts/organs of the body and may be fatal.

 

Term

 

What are signs and symptoms of a systemic infection?

 

Definition

 

More generalized (than those of localized infection).  They include fever, fatigue, malaise, lymph node swelling.

 

Term

What is a Systemic Inflammatory Response?

Definition

 

It is the worst case scenario.  Sepsis.

 

       Also known as systemic inflammatory response syndrome (SIRS)

 

       Serious medical condition caused by the body's response to an infection.

 

       Leads to widespread inflammation and blood clotting. 

 

       Blood clotting during sepsis causes reduced blood flow to limbs and vital organs, and can lead to organ failure or gangrene (damage to tissues).

 

Term

What is the cause of SIRS (Systemic inflammatory response syndrome)?

Definition

 

The body’s response to an infection

 

Term

 

What are symptoms of sepsis?

 

Definition

 

          Decreased urine output

 

          Fast heart rate

 

          Fever

 

          Hypothermia 

 

          Shaking

 

          Chills

 

          Warm skin or a skin rash

 

          Confusion or delirium

 

          Hyperventilation (rapid breathing)

 

Term

 

The CDC’s System of Isolation Procedures consists of what two “Tiers?”

 

Definition

 

Standard precautions (barrier)

 

          All body fluids of all patients should be considered hazardous, regardless if a diagnosis is known

 

Transmission-based precautions

 

          Applies to clients with documented or suspected infections with highly transmissible or epidemiologically important pathogens by contact, droplet or airborne modes of transmission

 

Term

 

What are Standard Precautions?

 

Definition

 

       Primary strategy for nosocomial infection control by reducing transmission

 

       Applies to blood, all body fluids, secretions, excretions, except sweat

 

       Environmental control: disposable equipment and utensils, sharps management, mouthpieces, bags for resuscitation

 

       Patient room assignments

 

       Patient transport precautions

 

Term

 

Infection control: What is "Mode of Transmission?"

 

Definition

 

Refers to the way in which the pathogen moves or is carried from the source’s portal of exit

 

Term
What are Modes of Transmission in terms of transmission-based precautions
Definition

 

          Contact

 

        Direct

 

        Indirect

 

          Droplet

 

          Airborne

 

          Vehicle 

 

          Vector

 

Term

 

Airborne Precautions - criteria

 

Definition
Droplet nuclei <5µm (small droplet)
Term
What kind of diseases would require airborne precautions?
Definition

Measles

VZV

TB

Term
What PPE is required for airborne precautions?
Definition
Respirator or N95 Mask (for provider when in room, for patient when he/she out of room); dedicated equipment
Term

 

MRSA, VRE, RSV, C. difficile, and shingles would call for what kind of precautions?

 

Definition
Contact Precautions
Term

What PPE is required for contact precautions?

 

Definition

 

       Precautions: glove and gown; dedicated equipment

 

Term
What are the criteria for airborne precautions?
Definition

Droplet nuclei <5μm (small droplet)

 

◦       Can stay suspended and widely dispersed by air currents

 

Term
What are the criteria for contact precautions?
Definition
Direct patient or environmental contact
Term
Criteria for droplet precautions
Definition

 

       droplets >5μm

 

Term

Measles, VZV, and TB would call for what precautions?

 

Definition
Airborne
Term
Patients with diptheria, rubella, pertussis, mumps, and meningococcal pneumonia would require what kind of precautions?
Definition
Droplet precautions
Term
PPE: droplet precautions
Definition

simple mask (for provider when in room, for patient when he/she out of room); dedicated equipment

Term
Protective Isolation criteria
Definition
Neutropenic patients (neutrophils <500/mm3)
Term
Protective Isolation Precautions
Definition

 

       Neuropenic patients (neutrophils < 500/mm3)

 

–   Burns, chemotherapy, radiation therapy, immunosuppressive medications

 

       Private room / Door closed

 

       Meticulous hand hygiene by patient, HCWs, visitors

 

       Restrict visitors with infectious diseases

 

       No fresh fruit, vegetables (controversial), flowers, plants, uncooked meat/fish

 

       Limited social interactions can cause psychological problems, especially with children

 

Term
What is asepsis?
Definition

 

The absence of pathogenic, or disease producing, microorganisms

 

Term

 

Medical asepsis (aka clean technique)

 

Definition

 

       Includes procedures used to reduce and prevent the spread of pathogens

 

       e.g., using gloves, cleaning the environment

 

Term

 

Surgical asepsis (aka sterile technique)

 

Definition

 

       An object must be free of all microorganisms

 

Term

 

What is the single most important infection control practice?

 

Definition

 

Hand Hygiene

 

Term

 

When should you perform hand hygiene?

 

Definition

 

}  Beginning & end of shift

 

}  Before  client contact

 

}  Between contacts with different clients

 

}  Before & after contact with wounds, dressings, specimens, bed linens

 

}  Before eating

 

}  After removing gloves

 

}  Before performing any invasive procedure

 

}  Before administering medications

 

}  After contact with secretions or excretion

 

}  Before & after using bathroom

 

}  After sneezing, coughing, or blowing nose

 

Term

 

What are the types of Hand Hygiene?

 

Definition

 

       Soap-water should be used when:

 

   Hands are visibly soiled

 

  Before and after eating

 

   After using the restroom

 

       Gels/foams can be used at any other time (except if patient has C. difficile-alcohol is not effective against this pathogen)

 

Term

 

When is it not appropriate to use alcohol-based hand sanitizers?

 

Definition

 

–   Hands are visibly soiled

 

–   Before and after eating

 

–   After using the restroom

 

 When a patient has C. difficile – alcohol is not effective against this pathogen

 

Term

 

What are barriers used in Clean Technique?

 

Definition

 

       Gowns

 

       Masks

 

       Caps and Shoe Coverings

 

       Gloves – latex, vinyl

 

       Private Rooms

 

       Equipment and Refuse Handling

 

Term

 

What are practices are dictated by Clean Technique?

 

Definition

 

}  NEVER TOUCH WITH BARE HANDS ANTHING THAT IS WET COMING FROM A BODY SURFACE

 

}  Use clean, nonsterile when touching blood, body fluids, secretions, excretions, contaminated articles

 

}  Put on gloves just before touching mucous membranes or nonintact skin

 

}  Changes glove between procedures

 

}  Remove gloves promptly after use, before touching items and environmental surfaces

 

}  ALWAYS WEAR GLOVES DURING CLIENT CARE WHEN YOUR SKIN IS ABRADED

 

Term

 

Is it okay to touch a patient with bare hands if your own skin is abraded?

 

Definition

 

No

 

Term

 

PPE: Mask, eye protection, face shield – What are their purposes?

 

Definition

 

       Used to protect mucus membranes of eyes, nose, mouth during procedures and patient care activities likely to generate splashes or sprays

 

       Masks protect wearer from inhaling large-particle droplets (lose effectiveness over time)

 

Term

 

PPE: What are gowns used for in Clean Technique?

 

Definition

 

To protect skin and prevent soiling of clothing during procedures and patient care activities likely to generate splashes and sprays.

 

Term

 

Is it necessary to use a sterile gown during Clean Technique?

 

Definition

 

No.  It does not need to be sterile.  Just clean and unused.

 

Term

 

During sterile technique, what should you look for on a sterile object’s packaging?

 

Definition

 

Packaging and Expiration dates

 

Term

 

If you turn your back on the sterile field, is it still sterile?

 

Definition

 

No.  Always face the sterile field.

 

Term

What is the rule regarding sterile articles?

Definition

 

Sterile articles touch only other sterile articles (or they lose their sterility).

 

Term

 

Principles of Sterile Technique:

 

Definition

 

planning and preparing the environment to eliminate organisms introduced to the client by the procedure

 

          Personnel should be free of infectious disease (resp, diarrhea, rashes)

 

          No street attire in OR

 

          Shoe, hair, beard covered by caps and masks

 

          No jewelry on hands, nails clipped short

 

Term

 

True or false:  A sterile object is still sterile after it touches an article outside the sterile field?

 

Definition

 

False

 

Term

 

T/F: A sterile objet remains sterile only when touched by another sterile object.

 

Definition

 

True

 

Term

 

T/F: Only sterile objects may be placed on a sterile field.

 

Definition

 

True

 

Term

 

T/F: A sterile object of field out of range, or an object held below a person’s waist can still be called sterile, as long as it is out of range for less than three seconds.

 

Definition

False

Term

 

T/F: A sterile object or field becomes contaminated by prolonged exposure to air.

 

Definition

 

True

 

Term

 

T/F: When a sterile surface comes in contact with a wet, contaminated surface, the sterile field becomes contaminated by capillary action.

 

Definition

 

True

 

Term

 

T/F:  The edges of a sterile field or container are considered to be sterile, as long as you haven’t touched them with ungloved hands.

 

Definition

 

Flase.  There is a 1” unsterile “border” around the sterile field that is considered to be contaminated. ‘

 

Term

 

T/F: It is permissible to use a sterile object past its expiration date, so long as it is within one month.

 

Definition

False

Term

 

How might you prevent unnecessary traffic and air currents around your sterile field?

 

Definition

 

       Close the doors.

 

       Unfold drapes or wrappers slowly.

 

       Do not sneeze, cough, or talk excessively over the sterile field.

 

       Do not reach across the sterile field.

 

Term

 

If you contaminate yourself or the sterile field, what must you do?

 

Definition

 

Re-establish your sterile field by beginning again.

 

Term

 

When you are uncontaminated during sterile technique, may you enlist your colleagues to assist you by obtaining equipment you may need?

 

Definition

 

Yes

 

Term

 

What is a nosocomial infection?

 

Definition

 

An infection associated with healthcare delivery.

 

Term

 

What are the four types of healthcare-associated affections that account for 80% of reported infections?

 

Definition

 

}  35% Urinary tract (catheter associated) - Today

 

}  20% Surgical site – Week 2

 

}  15% Bloodstream (intravascular devices) – Week 6

 

}  10% Pneumonia (ventilator associated) – Week 3

 

Term

 

What are some Prerenal conditions that affect the process of urinary elimination?

 

Definition

 

  Factors that decrease circulating blood flow through the kidneys with subsequent decreased perfusion to renal tissue

 

Decreased renal blood flow

 

  Outside of the urinary system

 

Term
Examples of Prerenal conditions
Definition

 

       Decreased intravascular volume: deydration, hemorrhage, burns, shock

 

       Altered peripheral vascular resistance: sepsis, anaphylactic reactions

 

       Cardiac pump failure: HF, MI, Hypertensive heart disease, valvular diseases, pericardial tamponade

 

Term

 

What are intrarenal factors that affect the urinary elimination process?

 

Definition

 

  Factors that cause injury directly to the glomeruli or renal tubules interfering with their normal filtering, reabsorptive, and secretory functions

 

Within the kidney filtration areas

 

Term
Examples of intrarenal factors
Definition

 

       Ureteral, bladder, or urethral obstruction: calculi, blood clots, tumors, stricture

 

       Prostatic hypertrophy

 

       Neurogenic bladder

 

       Pelvic tumors

 

       Retroperitoneal fibrosis

 

Term

 

What are the symptoms of a Urinary Tract Infection:

 

Definition

 

–   Dysuria, N/V, fever, chills, fatigue

 

–   Older persons – confusion or vague abdominal discomfort

 

–   Cystitis:  frequency, urgency

 

–   Hematuria:  blood in urine

 

–   Bacteriuria may lead to urosepsis

 

–   Pyleonephritis:  flank pain, tenderness; fever; chills

 

–   CAUTI – often asymptomatic

 

Term

 

What is hematuria?

 

Definition

 

Blood in urine

 

Term

 

What is dysuria?

 

Definition

 

Pain when urinating

 

Term

 

If urinary output is less than or equal to 30 mL/hr for two consecutive hours, do you have to call the MD?

 

Definition

 

Yes

 

Term

 

What is the most common causative organism in UTIs?

 

Definition

 

E. coli

 

Term

 

Are UTIs more common in women or men?

 

Definition

 

Women because of the proximity of anus and urethra

 

                Poor hand hygiene, failure to wipe front to back

 

Term

 

Why are men less susceptible to UTIs?

 

Definition

 

They have a longer urethra, and have an antibacterial substance secreted by the prostate that protects against infection.

 

Term

 

What is the indication for a straight (intermittent) urinary catheter?

 

Definition

 

To relieve urinary retention.  Also for paraplegics who intermittently catheterize themselves throughout the day.

 

Term

 

What is a CAUTI? 

 

Definition

 

Catheter-associated urinary tract infection.

 

Term

Is a CAUTI a nurse-sensitive outcome?

Definition

Absolutely.

Term

 

What is the percentage of patients who develop a UTI after 7 days of having an indwelling catheter?

 

Definition

 

50%

 

Term

 

Is it appropriate to place an indwelling catheter for a patient who requires prolonged immobilization?

 

Definition

 

Yes

 

Term

 

Is it appropriate to place in indwelling catheter for a patient with acute urinary retention or bladder outlet obstruction? 

 

Definition

 

Yes

 

Term

 

What are appropriate indications for indwelling urinary catheters?

 

Definition

 

       Acute urinary retention or bladder outlet obstruction

 

       Accurate measurement of urine output in critically ill patients

 

       Selected perioperative  situations

 

       Patient requires prolonged immobilization

 

       To assist in healing of open sacral or perineal wounds in incontinent patients

 

       End-of-life care

 

Term

 

What is a “Care Bundle?”

 

Definition

 

       Collection of guidelines and interventions that, when consistently followed, have been shown to improve outcomes.

 

Term

 

What are the elements of a CAUTI CareBundle?

 

Definition

 

 

       Insert catheters for appropriate indications only

 

       Leave catheters in place only as long as needed

 

       Ensure that only properly trained persons insert and maintain catheters

 

       Insert catheters using sterile technique

 

       Maintain a closed drainage system

 

       Maintain unobstructed urine flow

 

       Practice hand hygiene and standard precautions

Term

 

T/F:  A care bundle will effectively improve outcomes, provided at least 75% of the guidelines are followed.

 

Definition

 

False.  Outcomes are improved when care bundles are completely and consistently followed.

 

Term

 

What is the best determinant cause of CAUTI?

 

  Sterile technique broken during insertion

 

  Length of dwell time

 

  Older age

 

  Female sex

 

  Closed drainage system

 

 

Definition

 

Answer: Length of dwell time.

 

Term

 

What is a Bladder Ultrasound (BUS)?

 

Definition

 

A non-invasive portable US devise that mesasures urine that is attached to a screen capable of visualizing the bladder

 

Term

 

What is a bladder ultrasound (BUS) used to measure?

 

Definition

 

It is used to measure post void residual (PVR)

 

Term

 

Would we utilize a bed pan for a patient with a spinal injury, body or leg casts?

 

Definition

 

Yes, we use them for conditions that restrict the patient from turning.

 

Term

 

T/F:  A bedridden female can use a bedpan for urination, but not defecation

 

Definition

 

False.  Can be used for both.

 

Term

 

When Habit Training/Toileting, why is it necessary to void each time your baseline voiding schedule indicates, even if you don’t feel the need to void?

 

Definition

 

This prevents the bladder from overfilling, which can lead to uncontrollable urine leakage associated with a sudden urge to urinate, or a cough, laugh, or sneeze.

 

Term

 

When Habit Training/Toileting, should you go every time you have a strong urge to go?  Or should you stick to a schedule?

 

Definition

 

Make every effort to put off urinating between your scheduled voiding, even if you have a strong urge to urinate. 

 

Term

 

What is the most common healthcare associated infection?

 

a.       Ventilator-assisted pneumonia

 

b.      CAUTI

 

c.       Central catheter-associated bloodstream infection

 

d.      Surgical site infection

 

Definition
b. CAUTI
Term

 

When a urinary catheter remains indwelling for a month, the risk of bacteriuria is:

 

a.       25%

 

b.      60%

 

c.       90%

 

d.      100%

 

Definition
d. 100%
Term

 

Antibiotic-impregnated catheters have been found to be effective in reducing CAUTI incidence for

 

a.       72 hours

 

b.      7 days

 

c.       2 weeks

 

d.      1 month

 

Definition
b. 72 hours
Term

 

Biofilm develops :

 

a.       On every indwelling medical device

 

b.      Only on indwelling urinary catheters

 

c.       Primarily on antibiotic-impregnated urinary catheters

 

d.      Primarily on venous access devices

 

Definition
a. on every indwelling medical device
Term

 

Which statement is correct about biofilm?

 

a.       It enhances bactericidal activity

 

b.      It’s composed primarily of cellular material

 

c.       It’s initially composed of several species of microorganisms

 

d.      Removing the catheter is the best way to eradicate biofilm

 

Definition
d. Removing the catheter is the best way to eradicate biofilm
Term

 

Some evidence exists that CAUTI can be reduced by:

 

a.       Routine meatal care with soap and water

 

b.      Routine meatal care with an antiseptic periwash

 

c.       Routine catheter irrigation with 0.9% sodium chloride solution

 

d.      Application of antibacterial ointment to the meatus

 

Definition
a. Routine meatal care with soap and water
Term

 

Best practice recommendations include changing long-term drainage bags

 

 

a.       Every 14 days

 

b.      Every month

 

c.       Every 6 weeks

 

d.      Only as necessary based on clinical indications

 

Definition
d. Only as necessary based on clinical indications
Term

 

According to the CDC, an indwelling catheter may be appropriate if the patient:

 

 

a.       Is incontinent

 

b.      Is nearing death

 

c.       Has pain upon movement

 

d.      Prefers indwelling to intermittent catheterization

 

Definition
b. Is nearing death
Term

 

Sterile technique is not required for inserting:

 

 

a.       Antibiotic-impregnated catheters

 

b.      Siler alloy-covered catheters

 

c.       Intermittent catheters in the home setting

 

d.      Urinary catheters with an expected dwell time of 1 day or less

 

Definition
c. Intermittent catheters in the home setting
Term

 

Securing a catheter after insertion helps in all of the following except:


 

a.       Promoting patient comfort

 

b.      Prevented urethral traction

 

c.       Slowing bacterial colonization

 

d.      Decreasing urethral lining damage

 

Definition
c. Slowing bacterial colonization
Term

 

The number one predictor of CAUTI is

 

 

a.       A break in sterile technique during insertion

 

b.      Failure to use a reminder system

 

c.       Failure to use securement devices routinely

 

d.      Prolonged catheter dwell time

 

Definition
d. Prolonged catheter dwell time
Term

 

Which of the following is a CAUTI bundle strategy?

 

 

a.       Maintain a closed drainage system

 

b.      Use antibiotic-impregnated catheters

 

c.       Wash the meatus with soap and water following bowel movements

 

d.      Administer prophylactic antibiotics for duration of catheter placement

 

Definition
a. Maintain a closed drainage system
Term

 

For bladder emptying dysfunction, the CDC recommends

 

 

a.       Catheter irrigation

 

b.      External catheters

 

c.       Indwelling catheters

 

d.      Intermittent catheterization

 

Definition
d. Intermittent catheterization
Term

 

The CDC recommends ultrasound bladder scanners to

 

 

a.       Reduce unnecessary catheter insertions

 

b.      Reduce unnecessary catheter irrigations

 

c.       Prevent premature catheter removal

 

d.      Identify the need for catheter removal

 

Definition
a. reduce unnecessary catheter insertions
Supporting users have an ad free experience!