1CTC. Mrs.
Cortez is a 76-year-old woman who is independent, lives alone, prefers
not to rely on others unless absolutely necessary. She was active and
healthy until about 6 months ago, at which time she developed a
persistent upper respiratory infection. Because she was unable to obtain
or prepare foods, she lost weight and became very weak She finally
sought medical attention, but she has not yet fully Recovered. Her
primary care provider has admitted Mrs. Cortez to the hospital for
shortness of breath, productive cough, dehydration, and nutritional
deficiency.
Mrs. Cortez’s primary care provider suspects that Mrs. Cortez has pneumonia. What data support Mrs. Cortez’s increased risk for such an infection?
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1TYK. The client is a chronic carrier of infection. To prevent the spread of the infection to other clients or health care providers, the nurse emphasizes interventions that do which of the following?
1. Eliminate the reservoir.
2. Block the portal of exit from the reservoir.
3. Block the portal of entry into the host.
4. Decrease the susceptibility of the host.
Get Solution
2CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
What other information or assessment data would be helpful to you when planning care for Mrs. Cortez?
Get Solution
2TYK. Which is the most effective nursing action for preventing and controlling the spread of infection?
1. Thorough hand hygiene
2. Wearing gloves and masks when providing direct client care
3. Implementing appropriate isolation precautions
4. Administering broad-spectrum prophylactic antibiotics
Get Solution
3CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
You recognize that standard precautions are instituted for all hospitalized clients. Explain why the use of such precautions may not prevent the spread of Mrs. Cortez’s respiratory infection to other susceptible clients.
Get Solution
3TYK. In caring for a client on contact precautions for a draining infected foot ulcer, which action should the nurse perform?
1. Wear a mask during dressing changes.
2. Provide disposable meal trays and silverware.
3. Follow standard precautions in all interactions with the client.
4. Use surgical aseptic technique for all direct contact with the client.
Get Solution
4CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
What can you do to prevent the spread of Mrs. Cortez’s infection to other hospitalized clients and at the same time prevent Mrs. Cortez from getting infections from other clients?
Get Solution
4TYK. When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?
1. Goggles
2. Gown
3. Surgical mask
4. Clean gloves
Get Solution
5CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
You see the nursing assistant leaving Mrs. Cortez’s room. The assistant stops to wash her hands. She turns on the water handles and soaps and rubs her hands together under running water for about 5 seconds. She then turns off the faucets with her bare hands and proceeds with drying her hands. Should you intervene and, if so, what should you do?
Get Solution
5TYK. While applying sterile gloves (open method), the cuff of the first glove rolls under itself about 0.5 cm (1/4 in.). What is the best action for the nurse to take?
1. Remove the glove and start over with a new pair.
2. Wait until the second glove is in place and then unroll the cuff with the other sterile hand.
3. Ask a colleague to assist by unrolling the cuff.
4. Leave the cuff rolled under.
Get Solution
6TYK. The nurse evaluates the chart of a 65-year-old client with no apparent risk factors and concludes that which immunizations are current? Select all that apply.
1. Last tetanus booster was at age 50
2. Receives a flu shot every year
3. Has not received the hepatitis B vaccine
4. Has not received the hepatitis A vaccine
5. Has not received the herpes zoster vaccine
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7TYK. A client with poor nutrition enters the hospital for treatment of a puncture wound. An appropriate nursing diagnosis would be___________.
Get Solution
8TYK. After teaching a client and family strategies to prevent infection prevention, which statement by the client would indicate effective learning has occurred?
1. “We will use antimicrobial soap and hot water to wash our hands at least three times per day.”
2. “We must wash or peel all raw fruits and vegetables before eating."
3. “A wound or sore is not infected unless we see it draining pus.”
4. “We should not share toothbrushes but it is OK to share towels and washcloths."
Get Solution
9TYK. Which of the numbered areas is considered sterile on a person in the operating room? You may assume that all articles were sterile when applied.
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Mrs. Cortez’s primary care provider suspects that Mrs. Cortez has pneumonia. What data support Mrs. Cortez’s increased risk for such an infection?
Get Solution
1TYK. The client is a chronic carrier of infection. To prevent the spread of the infection to other clients or health care providers, the nurse emphasizes interventions that do which of the following?
1. Eliminate the reservoir.
2. Block the portal of exit from the reservoir.
3. Block the portal of entry into the host.
4. Decrease the susceptibility of the host.
Get Solution
2CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
What other information or assessment data would be helpful to you when planning care for Mrs. Cortez?
Get Solution
2TYK. Which is the most effective nursing action for preventing and controlling the spread of infection?
1. Thorough hand hygiene
2. Wearing gloves and masks when providing direct client care
3. Implementing appropriate isolation precautions
4. Administering broad-spectrum prophylactic antibiotics
Get Solution
3CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
You recognize that standard precautions are instituted for all hospitalized clients. Explain why the use of such precautions may not prevent the spread of Mrs. Cortez’s respiratory infection to other susceptible clients.
Get Solution
3TYK. In caring for a client on contact precautions for a draining infected foot ulcer, which action should the nurse perform?
1. Wear a mask during dressing changes.
2. Provide disposable meal trays and silverware.
3. Follow standard precautions in all interactions with the client.
4. Use surgical aseptic technique for all direct contact with the client.
Get Solution
4CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
What can you do to prevent the spread of Mrs. Cortez’s infection to other hospitalized clients and at the same time prevent Mrs. Cortez from getting infections from other clients?
Get Solution
4TYK. When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?
1. Goggles
2. Gown
3. Surgical mask
4. Clean gloves
Get Solution
5CTC. Mrs. Cortez is a 76-year-old woman who is independent, lives alone, prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare foods, she lost weight and became very weak She finally sought medical attention, but she has not yet fully Recovered. Her primary care provider has admitted Mrs. Cortez to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
You see the nursing assistant leaving Mrs. Cortez’s room. The assistant stops to wash her hands. She turns on the water handles and soaps and rubs her hands together under running water for about 5 seconds. She then turns off the faucets with her bare hands and proceeds with drying her hands. Should you intervene and, if so, what should you do?
Get Solution
5TYK. While applying sterile gloves (open method), the cuff of the first glove rolls under itself about 0.5 cm (1/4 in.). What is the best action for the nurse to take?
1. Remove the glove and start over with a new pair.
2. Wait until the second glove is in place and then unroll the cuff with the other sterile hand.
3. Ask a colleague to assist by unrolling the cuff.
4. Leave the cuff rolled under.
Get Solution
6TYK. The nurse evaluates the chart of a 65-year-old client with no apparent risk factors and concludes that which immunizations are current? Select all that apply.
1. Last tetanus booster was at age 50
2. Receives a flu shot every year
3. Has not received the hepatitis B vaccine
4. Has not received the hepatitis A vaccine
5. Has not received the herpes zoster vaccine
Get Solution
7TYK. A client with poor nutrition enters the hospital for treatment of a puncture wound. An appropriate nursing diagnosis would be___________.
Get Solution
8TYK. After teaching a client and family strategies to prevent infection prevention, which statement by the client would indicate effective learning has occurred?
1. “We will use antimicrobial soap and hot water to wash our hands at least three times per day.”
2. “We must wash or peel all raw fruits and vegetables before eating."
3. “A wound or sore is not infected unless we see it draining pus.”
4. “We should not share toothbrushes but it is OK to share towels and washcloths."
Get Solution
9TYK. Which of the numbered areas is considered sterile on a person in the operating room? You may assume that all articles were sterile when applied.
Get Solution
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