A nurse cares for a client who is infected with Burkholderia cepacia. Which action should the nurse take first when admitting this client to a pulmonary care unit?
a. Instruct the client to wash his or her hands after contact with other people.
b. Implement Droplet Precautions and don a surgical mask.
c. Keep the client isolated from other clients with cystic fibrosis.
d. Obtain blood, sputum, and urine culture specimens.
ANS: C
Burkholderia cepacia infection is spread through casual contact between cystic fibrosis clients, thus the need for these clients to be separated from one another. Strict isolation measures will not be necessary. Although the client should wash his or her hands frequently, the most important measure that can be implemented on the unit is isolation of the client from other clients with cystic fibrosis. There is no need to implement Droplet Precautions or don a surgical mask when caring for this client. Obtaining blood, sputum, and urine culture specimens will not provide information necessary to care for a client with Burkholderia cepacia infection.
You might also like to view...
In which section would the following sentence most likely appear? "The study sample consisted of 35 mother-infant dyads from an inner-city neighborhood."
A) Introduction B) Method section C) Results section D) Discussion
A parent discusses the development of his 7-year-old daughter. He is concerned because she has not grown much in the last year. You explain:
a. This is normally a period of rapid growthB. His daughter has not been receiving adequate nutritionC. Infancy and puberty are the periods of most rapid growth D. His daughter must be suffering from an emotional or physical illness
The nurse administering medications knows that controlled substances must be managed carefully. Which of the following accurately describes the procedure for managing these drugs?
A) Controlled substances must be kept in a triple-locked area. B) Keys to the locked area must always be in a pharmacist's possession. C) Schedule drugs must be documented on the client's record within 20 minutes of administration. D) Only licensed nurses are allowed to access schedule drugs.
When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse's hand. The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
a. The patient is accustomed to touch during conversation, as are members of many Hispanic subcultures. b. The patient understands that touch makes the nurse uncomfortable and controls the relationship based on that factor. c. The patient is afraid of being alone. When touching the nurse, the patient is reassured and comforted. d. The patient is trying to manipulate the nurse using nonverbal techniques.