The nurse plans care for the clients with C. difficile infection. Which of the following interventions should be included in this plan? (Select all that apply.)
A) Accurate intake and output
B) Contact isolation precautions
C) Monitor electrolyte levels
D) Restricting fluids
E) Strict hand washing procedures
A, B, C, E
Feedback:
Correction of fluid and electrolyte imbalances is crucial, as are the use of gloves, strict hand-washing techniques, cleaning of environmental surfaces (usually with a bleach solution), and contact precautions. Monitoring hydration status is important due to the risk of dehydration.
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An adult child brings his father to the emergency department and describes the sudden onset of a panic attack and aggressiveness. After ruling out an infectious process, what action by the nurse is best?
a. Assess the patient for mental illness. b. Perform a mini-mental state exam on the patient. c. Ask about risk factors for delirium. d. Assess the patient for illicit drug use.
In Bronfenbrenner's theory, development is what?
A) A series of tasks B) Divided into eight stages C) Continuous D) Passive
A patient at a family planning clinic says that she is considering getting pregnant, and she wants to know what she can do to help prepare her body for pregnancy. The nurse would be correct to provide information on and recommend that the patient take
a. vitamin B6. b. folic acid. c. vitamin B12. d. vitamin C.
The nurse is reviewing a client's laboratory results. Which finding is of most concern?
1. HDL cholesterol 62 mg/dL 2. Triglycerides 349 mg/dL 3. LDL cholesterol 92 mg/dL 4. Total cholesterol 202 mg/dL