A patient who has been hospitalized for several weeks for pneumonia and an abdominal wound is demonstrating signs of an infection. The nurse realizes that which of the following types of infections could be occurring with this patient?
1. Vancomycin-resistant Enterococci
2. Methicillin-resistant Staphylococcus aureus
3. Pseudomonas
4. E. coli
1
Rationale: Vancomycin-resistant Enterococci infections are common in surgical wounds and in urinary tract infections. Risk factors for this type of infection includes high acuity patients who have received multiple antimicrobial therapies, have had a prolonged hospitalization and have immunosuppression. The patient has been hospitalized for several weeks for pneumonia and an abdominal wound which increases this patient's chances of developing a Vancomycin-resistant infection. Risk factors for a methicillin –resistant Staphylococcus aureus infection include diabetes, immunosuppression, malnutrition, recent surgery, immobility or significant debility. The chances that the patient has a methicillin-resistant infection are less. There is not enough evidence to support that the patient has a pseudomonas or E. coli infection.
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The patient is receiving an intravenous drip of lidocaine hydrochloride to suppress ventricular arrhythmias
During repositioning of the patient, the intravenous tubing is dislodged from the pump and the patient receives a bolus of approximately 300 mg. The nurse stops the drip temporarily. What is the best nursing action to take next? A) Observe closely for hallucinations and hypotension. B) Reconnect drip at ordered rate per minute. C) Administer intravenous magnesium sulfate. D) Complete unusual occurrence report form.
A 25-year-old patient tells the nurse he is living a miserable existence. All his life, he states, he has thought, felt, and acted like a woman while living in the body of a man
He has lived as a female and dressed in feminine attire for more than a year. He has decided to change jobs so as not to compromise the new identity and now wishes to "take the next step" with surgery. The first patient request the physician will likely address is: a. "Will you order estrogen therapy?" b. "Can you refer me for psychotherapy?" c. "Will you alter my medical records?" d. "Please give me something to make me a man.".
Fibrocystic disease results from hormonal changes during the menstrual cycle
Indicate whether the statement is true or false
The provision of temporary, short-term relief to family caregivers is called:
A. long-term care. B. respite care. C. home care. D. foster care.