The nurse is caring for a client who has food poisoning that may be the result of Clostridium botulinum infection. Which is the priority nursing assessment for this client?
a. Heart rate and rhythm
b. Bowel sounds and heart tones
c. Fluid balance and urine output
d. Oxygen saturation and respiratory rate
D
Severe infection with Clostridium botulinum can lead to respiratory failure, so assessments of oxygen saturation and respiratory rate are of high priority for clients with suspected Clostridium botulinum infection. The other assessments may be completed after the respiratory system has been assessed.
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The most important step that the nurse can take to prevent the transmission of microorganisms in the hospital setting is to:
a. Wear protective eye wear at all times. b. Wear gloves during any and all contact with patients. c. Wash hands before and after contact with each patient. d. Clean the stethoscope with an alcohol swab between patients.
A woman complains that her partner threatens her and berates her in front of the children. She denies being in an abusive relationship or being the victim of physical violence. What action by the nurse is best?
a. Tell the woman to leave the abusive partner. b. Educate the woman on forms of domestic abuse. c. Help the woman work on a physical safety plan. d. Insist the woman take written information.
The nurse is aware that patients who have chronic gastritis from renal failure may present with the first sign of this disorder as:
a. an increase in the WBC count. b. sudden massive hemorrhage. c. asthma-like symptoms. d. extreme dyspnea.
During a staff meeting, the nurse is discussing new quantum leadership. The nurse explains that in this type of leadership change is viewed as which of the following?
A) Constant and predictable B) Dynamic and constantly unfolding C) Evolving very slowly D) An entity needing planning