The infection control nurse explains to the staff that resistant organisms, like vancomy-cin-resistant Enterococcus (VRE), evolve by
a. colonizing a client who has had repeated nosocomial infections.
b. contact with the host's weakened immune system.
c. infecting a client with a history of untreated infections.
d. mutation of the pathogen because of frequent exposure to antibiotics.
D
Resistant organisms evolve through changes in their DNA from long-term and frequent exposure to antibiotics. Studies have shown that up to 37.8% of hospitalized clients receive antibiotics and half of those are prescribed inappropriately. In the ICU over 80% of clients receive antibiotics. Health care professionals and researchers are growing increasingly concerned over this increasing and widespread use of antibiotics as the most important contributing factor in the development of antimicrobial resistance is antimicrobial use. This leads to spontaneous genetic mutations or genetic transfer of plasmids or chromosomal DNA in organisms, which results in resistance.
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The nurse is visiting with a family who just immigrated to the U.S. What should the nurse expect the children to experience?
1. Excitement 2. Culture shock 3. Peer pressure 4. Overly protective parents
The Practice Resource Network (PRN) provides AACN members with
A) discounted merchandise. B) chapter news. C) networking opportunities. D) two bimonthly journals.
A nurse is teaching a group of adults about screening and prevention of colorectal cancer. The nurse should describe which of the following as the most common sign of possible colon cancer?
A) Development of new hemorrhoids B) Abdominal bloating and flank pain C) Unexplained weight gain D) Change in bowel habits
A patient with a serious mental illness is being discharged from an inpatient facility but will require intensive, daily support on discharge. Which treatment option should the interprofessional team discuss with the patient as the best option after discharge?
1. Supported employment 2. Assertive community treatment 3. Peer support 4. Partial hospitalization program