Question

28. A hospitalized 88-year-old client who has been receiving antibiotics for 10 days tells you that he is having frequent watery stools. Which action will you take first? a. Notify the physician about the loose stools. b. Obtain stool specimens for culture. c. Instruct the client about correct hand washing. d. Place the client on contact precautions. 29. A client with a vancomycin-resistant enterococcus (VRE) infection is admitted to the medical unit. Which action can be delegated to the UAP who is assisting with the client's care? a. Teaching the client and family members about means to prevent transmission of VRE b. Communicating with other departments when the client is transported for ordered tests c. Implementing contact precautions when providing care for the client d. Monitoring the results of ordered laboratory culture and sensitivity tests 30. A 23-year-old client comes to the outpatient clinic reporting increasing shortness of breath, diarrhea, abdominal pain, and epistaxis. Which action should you take first? a. Assist the client to pinch the anterior nares firmly for 5 minutes. b. Call an ambulance to take the client immediately to the hospital. c. Ask the client about any recent travel to Asia or the Middle East. d. Determine whether the client has had recommended immunizations. 31. You are preparing to change the linens on the bed of a client who has a draining sacral wound infected by MRSA. Which PPE items will you plan to use? (Select all that apply.) a. Gown b. Gloves c. Goggles d. Surgical mask e. N95 respirator 32. A client who has frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration, which nursing action should the charge nurse delegate to an LPN/LVN? a. Performing ongoing assessments to determine the client's hydration status b. Explaining the purpose of ordered stool cultures to the client and family c. Administering the ordered metronidazole (Flagyl) 500 mg PO to the client d. Reviewing the client's medical history for any risk factors for diarrhea 33. As the infection control nurse in an acute care hospital, which action will you take to most effectively reduce the incidence of health care-associated infections? a. Require nursing staff to don gowns to change wound dressings for all clients. b. Ensure that dispensers for alcohol-based hand rubs are readily available in all client care areas of the hospital c. Screen all newly admitted clients for colonization or infection with MRSA. d. Develop policies that automatically start antibiotic therapy for clients colonized by multidruge resistant organisms.

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Answer 1

28, a, notify the physician about the loose stools
Severe antibiotics cause side effects and the allergic reaction includes severe watery stools, stomach cramps, etc. as a primary action Inform physician for any dosage alteration, changing to some other antibiotics or managing the side effects. next step with physician order we can do stool culture. As s routine care handwashing and other contact precautions to prevent infection we need to follow.
29, c, Implementing contact precautions when providing care for the client.
As a primary action, health care workers should protect themselves to avoid infection occurring and transmitting the organism. Proper handwashing, using disposable gloves, masks, and gowns can prevent infection. Family teaching important to prevent transmission. communicating with another department though case files can make alert and avoid transmission and monitor the routine procedure and test results carefully.
30, a, Assess the client to pinch the anterior nares firmly for 5 minutes
This action will stop the nose bleeding first. Ask the patient to breathe through the mouth. Then call the ambulance immediately for shifting to the hospital. Try to stop nose bleeding as a first action. We can collect history once the patient stabilized.
31, a, gown
b, Gloves
c, Goggles
d, surgical mask
Personal protective equipment includes additional precautions by wearing face shields, gowns, masks, gloves to protect staff from catching the infection. N95 respirator use by health care providers to protect them from infection it is not included under PPE.