CER EXAM -with 100% verified solutions-2023-2024 GRADED A+, Exams of Nursing

Download CER EXAM -with 100% verified solutions-2023-2024 GRADED A+ and more Exams Nursing in PDF only on Docsity! CER EXAM -with 100% verified solutions-2023- 2024 Enteroscopy Examination of the small intestine To prevent damage, should not be tightly coiled light bundles is used to perform procedures involving the large intestine Colonoscope A PEG is performed to insert a flexible feeding tube When performing a gastroscope the are visualized esophagus and stomach During an ERCP the is NOT visualized colon Which part of the endoscope conducts light through the shaft and transmits images? Umbilical cord What should be removed first when removing PPE? shoe covers cleaning According to AAMI "the removal of contamination from an item to the extent necessary for further processing for the intended use' detergent A cleaning agent that lowers surface tension to dislodge or dissolve soil Bioburden Microorganisms on contaminated scopes The size of the sink for manual cleaning of scopes should be deep and large enough to completely submerge the endoscope A solution with the pH of 9 is considered alakaline Cavitation The mechanical action in an ultrasonic cleaner The ventilation system in the scope cleaning room must be maintained at negative pressure A major cause of AER failures is using incorrect connectors OSHA requires the eyewash stations be available or emergency use Confidentiality The Health Insurance Portability and Accountability Act ensures this ethical issue Flexible endoscopes MUST be completely reprocessed so that patient care is not affected Policies Defines what a department MUST do NIOSH This entity makes recommendations on how personnel should protect themselves from latex exposures FDA Food and Drug Administration. This agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess reusable products. Regulates single-use device reprocessing. The goal is consumer protection Anatomy The branch of science refers to the form and organization of body parts Liver The largest internal organ Homeostasis The tendency of the body to maintain a stable internal environment Nosocomial An example of a patient contracting an infection from an improperly reprocessed endoscope Nosocomial infections can be prevented EXCEPT by increasing patient length of stay It is mandatory that all healthcare personnel follow the OSHA standard on blood borne pathogens MRSA An antibiotic resistant form of staphyloccocus Hepatitis is an inflammation of the liver The longest part of the GI tract is the small intestine Gastroscope Type of scope that would be used to view the esophagus Blue Positive Gram Stain Aerobes need oxygen to survive Spores A highly durable dehydrated cell with thick, hard shell-like walls, and can lie dormant for years. They can survive extreme heat, lack of water, and exposure to many toxic chemicals and radiation Fomite A desk is an example which is an inanimate object involved in the spread of infections E. Coli responsible for many HAI's Viruses Endoscopist The physician who performs examinations of the colon Colonoscope used to perform procedures involving the large intestine High-level disinfection The process that kills MOST microorganisms, but not necessarily spores High-level disinfection According to Spaulding's classification of medical devices a semi-critical item requires this type of disinfection Glutaraldehydes This disinfectant should NEVER be used as an environmental disinfectant Use life The length of time for which a high-level disinfectant can be used after it has been opened 12 minutes Items manually soaked in ortho-phthaldehyde at a minimum temperature of 68 degrees can achieve high-level disinfection Cleaning The most critical step in the reprocessing of flexible endoscopes Glutaraldehyde This chemical requires minimal effective concentration testing and must be activated 60 Minutes Reprocessing is considered "delayed" if it is not cleaned within this time frame Precleaning The first step in the cleaning process Containers or bags used to transport contaminated endoscopes should be labeled as biohazardous Leak tested The endoscope must be before manually cleaning is NOT a method of leak testing Suction Reusable cleaning brushes must be after each use disinfected Pre-cleaning at the bedside involves flushing the channels Coiling a scope too tightly may cause damage to the fiber optics H.pylori The bacterium that commonly cause inflammation of the stomach Infectious hepatitis is caused by a virus are two functions of the respiratory system Oxygen distribution and gas exchange