1.
Your client Mr. Samuels, age 45, who had a ruptured appendix removed 4 days ago. He was discharged from the hospital this morning and still has drainage from his surgical site which is infected as a result of the appendix rupturing. Mr. Samuels is on antibiotics, needs his vital signs taken qid, rest, and fluids. Why is medical asepsis so important in the care of this client?
Explanation
Medical asepsis is crucial in the care of this client because it helps to overcome the existing infection caused by the ruptured appendix, prevents the spread of the infection to other areas of the body or to other individuals, reduces the risk of reinfection, minimizes the chances of cross-infection between healthcare providers and the client, and prevents self-inoculation, which is the inadvertent transfer of infectious organisms from one part of the body to another. By practicing medical asepsis, healthcare providers can create a clean and sterile environment that promotes healing and prevents further complications.
2.
How are mircoorganisms spread?
Explanation
Microorganisms can be spread through various means such as touching secretions, touching objects, sneezing, and contaminated dust particles. When an infected person touches their bodily secretions, such as saliva or mucus, and then touches objects or surfaces, they can leave behind microorganisms that can be picked up by others who touch the same surfaces. Sneezing can also spread microorganisms as droplets containing the pathogens are released into the air and can be inhaled by others. Additionally, microorganisms can attach to dust particles and contaminate the air or surfaces, leading to their spread.
3.
How can you set up a routine that will control the spread of the microorganisms from thw wound to other areas in the house?
Explanation
To control the spread of microorganisms from a wound to other areas in the house, setting up a routine with designated clean and dirty areas is essential. The clean area should be where wound care activities are performed, such as cleaning and dressing the wound. This area should be kept sterile and disinfected regularly. The dirty area should be where contaminated items, such as used dressings or gloves, are disposed of properly to prevent cross-contamination. By segregating these areas and following strict hygiene practices, the risk of spreading microorganisms can be minimized, ensuring a safe and healthy environment.
4.
What are the five conditions that microorganisms need in order to grow?
Explanation
Microorganisms require five conditions in order to grow: moisture, temperature, oxygen, darkness, and food. Moisture is essential for their survival as it allows them to carry out their metabolic processes. Temperature affects their growth rate, with most microorganisms thriving in moderate temperatures. Oxygen is necessary for aerobic microorganisms, while darkness is preferred by some microorganisms that are sensitive to light. Finally, microorganisms need a source of food to obtain nutrients and energy for their growth and reproduction.
5.
When should you wash your hands while caring for Mr. Samuels?
Explanation
It is important to wash hands before and after each task while caring for Mr. Samuels to prevent the spread of germs. This includes tasks such as administering medication, assisting with personal hygiene, and handling any equipment. Additionally, washing hands before and after direct client contact is necessary to maintain proper hygiene and minimize the risk of transmitting any potential infections or pathogens.
6.
To prevent microorganisms from contaminating your arms, should you hold your hands up or down while washing them?
Explanation
Holding your hands down while washing them helps to prevent microorganisms from contaminating your arms because it allows the water and soap to flow from your hands towards your fingertips and down towards the drain. This downward flow helps to wash away any bacteria or viruses that may be present on your hands, preventing them from spreading to your arms. Holding your hands up could potentially allow water and contaminants to flow from your arms towards your hands, increasing the risk of contamination.
7.
How far above your wrists should you wash?
Explanation
You should wash up to 2 inches above your wrists to ensure that you thoroughly clean your hands and remove any dirt or germs that may be present. Washing up to this point helps to prevent the spread of bacteria and viruses, promoting good hygiene and reducing the risk of illness. By washing up to 2 inches above your wrists, you can effectively clean the entire surface area of your hands, including the spaces between your fingers and under your nails.
8.
You need to sterilize some cloths which are placed over the dressing on Mr. Samuels' abdomen. These are used to keep drainage from getting on his other clothes and bed linen. How would you sterilize them?
Explanation
To sterilize the cloths, baking them at a temperature of 350 degrees for one hour is recommended. This process will ensure that any bacteria or germs present on the cloths are killed, making them safe for further use.
9.
What would you do with the cloths you had sterilized to cover his dressings when they become soiled?
Explanation
When the cloths used to cover the dressings become soiled, the best course of action is to wrap them in a double plastic bag and discard them. This is important for maintaining hygiene and preventing the spread of infection. By sealing the soiled cloths in a double plastic bag, it helps contain any potential contaminants and ensures that they are properly disposed of. Discarding the cloths is necessary as they are no longer suitable for reuse and keeping them could pose a risk to the patient's health.
10.
If Mr. Samuels' washable robe became contaminated from the drainage, how would you clean it?
Explanation
To clean Mr. Samuels' washable robe that has become contaminated from the drainage, you would wash it in a machine with one cup of Lysol in warm water and laundry detergent. After this initial wash, you would need to wash it again to remove the Lysol from the robe.
11.
How should the medication nurse dispose of the needle and syringe used to give Mr. Samuels his antibiotic injection?
Explanation
The medication nurse should dispose of the needle and syringe used to give Mr. Samuels his antibiotic injection in a puncture proof covered container. This is the correct method of disposal to ensure the safety of others and prevent accidental needlestick injuries. A puncture proof container will prevent the needle from puncturing through and potentially causing harm. Additionally, the container should be covered to further minimize the risk of exposure to the used needle and syringe.
12.
What is meant by the term "Protective Barrier?"
Explanation
A protective barrier refers to items or measures that are utilized to prevent the transmission of diseases. These items act as a physical barrier between individuals and potential sources of infection, such as masks, gloves, gowns, or other personal protective equipment. The purpose of these barriers is to minimize the risk of direct contact with pathogens, thereby reducing the chances of disease transmission. By implementing protective barriers, individuals can safeguard themselves and others from contagious diseases.
13.
Should you continue to wear a wet protective barrier? Explain why or why not.
Explanation
Wet material provides a favorable environment for the growth and spread of microorganisms. Microorganisms can easily travel through wet material, increasing the risk of infection or contamination. Therefore, it is not advisable to continue wearing a wet protective barrier as it may compromise its effectiveness in preventing the entry of microorganisms.
14.
What would you do with the cloths you had sterilized to cover Mr. Samuel's dressings when they become soiled.
Explanation
The correct answer suggests that when the cloths used to cover Mr. Samuel's dressings become soiled, they should be wrapped in a double plastic bag and discarded according to community regulations. This implies that the soiled cloths should be properly disposed of to maintain hygiene and prevent the spread of any potential infections or contaminants. Following community regulations ensures that the disposal process is done in a safe and appropriate manner.
15.
Explain the difference in standard precautions and transmission-based precautions.
Explanation
Transmission-based precautions are a set of infection control measures that are implemented when a patient is diagnosed with a specific pathogen that has the potential to spread through various routes, such as contact, droplet, or airborne transmission. These precautions are in addition to standard precautions, which are basic infection prevention practices that are applied to all patients regardless of their diagnosis. While standard precautions focus on preventing the transmission of common pathogens, transmission-based precautions specifically target the known modes of transmission of a particular pathogen, ensuring the safety of both patients and healthcare workers.