Question

# 7. If Mrs. Zippo were on oral ciprofloxacin what dietary considerations would have to be considered with this medication? You enter the room to start the IV and insert the Foley catheter but find the aide has taken the patient to the bathroom for a BM. You open the door to observe the patient wiping herself from back to front. You realize this is a teaching moment and take the aide aside and instruct her. # 8. What is the association between Mrs. Zippo's UTI and the organism found in her urine culture? The aide comes to you to report that Mrs. Zippo is picking at her IV and asks if she can apply wrist restraints. 9. How should you respond to this question? 10. If Mrs. Zippo develops diarrhea, what special instructions should you give to the aide when providing basic care? You are the nurse assigned to Mrs. Zippo's care. You notice the nursing assistant emptying the urinary drainage bag is not wearing personal protective equipment. You also observe that the spout is contaminated during the process. 11. What issues need to be considered in protecting Mrs. Zippo's safety? 12. Describe your actions working with the nursing assistant? The nursing assistant reports that Mrs. Zippo 8-hour intake is 520 mL and the output is 140mL, 13. List at least two (2) possible factors that could account for the differences, 14. For each factor, identify which item would be assessed and how. Mrs. Zippo has completed her antibiotic therapy, her mental status has cleared, and she is ready for discharge, 15. What discharge instructions should you discuss with the daughter? Reviewed 1/20

Answer 1

Answer 7

The dietary considerations while taking the ciprofloxacin are

• It should not be taken along with milk and milk products
• Cereals should be avoided
• Juices should be avoided
• Avoid coffee with the drug
• Avoid alcohol

Answer 8

The techniques to wash the perineal area is to clean is from front to back or from anterior to posterior or clean to unclean area.This method will reduce the transmission of infection or microorganisms into the urinary tract from rectal area.The organism npmigjt have spread from anal region to urinary tract when cleaned in this way.

Answer 9

Wrist restraints is a method of physical immobilization of a patient by applying pressure.

If the patient is not in a sound mind to understand and follow tgen depending upon self injury, patient and relative consent with provider order restraint can be applied.

Answer 10.

The special instructions to be given are

• Checking for passing of stool every two hours once
• Keeping the perineal skin dry from moisture to prevent skin peeling or ulcer
• Apply diapers ,if patient has incontinence or lack of bowel control.