The nurse is caring for a patient with C. diff. What type of precautions should she use?
a. Airborne
b. Droplet
c. Contact
d. Protective
C
The nurse implements contact precautions because C. difficile spores live in the environment and on surfaces, including healthcare workers' hands, and are spread through contact. There is no need for airborne or droplet precautions because C. difficile spores are not transmitted by those routes. Protective precautions are used for immunocompromised patients.
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A nurse assesses a client with diabetes mellitus 3 hours after a surgical procedure and notes the client's breath has a "fruity" odor. Which action should the nurse take?
a. Encourage the client to use an incentive spirometer. b. Increase the client's intravenous fluid flow rate. c. Consult the provider to test for ketoacidosis. d. Perform meticulous pulmonary hygiene care.
During an assessment, the nurse notes that the patient's eyes are extremely wide open and bulging. The nurse would conduct additional assessment for which endocrine disorder?
1. Hyperthyroidism 2. Diabetes mellitus 3. Hypofunction of the adrenal glands 4. Hypofunction of the anterior pituitary gland
The nurse is teaching parents of a bottle-fed preterm infant techniques to facilitate feeding. Which techniques should the nurse include? (Select all that apply.)
a. Choose a soft nipple. b. Avoid arousing the infant. c. Recognize the infant's limits. d. Prepare a calm, quiet area for the feeding. e. Ensure a restful environment between feedings.
The nurse working in the emergency department is caring for a patient with Addison's disease who has an oral temperature of 102°F and blood pressure of 70/35. The patient is reporting weakness and abdominal pain
The nurse recognizes that which patient statements are likely related to the current manifestations? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I injured my leg last week when I fell off a ladder.". 2. "I think I have had the flu for the last week.". 3. "I have been using a tanning bed.". 4. "I take my prednisone (Deltasone) every day.". 5. "I have been increasing my intake of calcium-rich foods.".