The nurse completes care for the patient on droplet precautions. Which procedure does the nurse implement to prevent transmitting the pathogen to other people?
a. Removes gloves and mask at the bedside and gown in hallway
b. Removes all personal protective equipment (PPE) in the soiled utility room
c. Removes gloves first, gown second, and mask third in the patient's doorway
d. Removes mask first, gloves second, and gown third outside the patient's room
C
The nurse removes PPE to prevent self-contamination. He or she removes the gloves first to avoid contaminating the head, then removes the gown by unfastening neck ties and pulling it away and rolling into a bundle, then removing mask. These actions occur in the patient's door-way to contain the pathogen and prevent transmission to people outside the room. The nurse risks contamination if the gloves and mask are removed at the bedside; if the mask is removed before the contaminated gloves, the nurse risks contaminating the head while untying the strings of the mask. PPE should be removed together, at the same location, and away from the source of contamination to facilitate containment of the pathogen. Removing PPE in the hallway or utility room would risk transmitting the pathogen to others.
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Following an automobile accident in which the child received a traumatic head injury, the child has been hospitalized for two weeks
The parents have just been informed that their four-month-old child will have long-term consequences due to the injury, including intellectual disability and cerebral palsy. The parents express anger at the diagnosis and project that anger on the nursing staff. The response by the nursing staff should include: Standard Text: Select all that apply. 1. Referring the family to the hospital administrator. 2. Recognizing that the parents' anger is a normal response to the news. 3. Continuing to provide physical and emotional care to the child and family. 4. Offering hospital resources to the parents in addition to continued nursing support. 5. Explaining to the family that you are sorry about their child's injury but suggest they transfer the child to another hospital for their own comfort.
Which one of the following is a true statement about mobility and safety for older adults?
a. Use of restraints on older patients helps prevent injuries from falls. b. Falls that do not cause physical injury are not significant. c. The get-up-and-go test provides a measure of a patient's energy and initiative. d. Lowering the bed and fluorescent tapes are interventions to increase safety.
A 6 month old is exhibiting signs of gastroesophageal reflux. A nursing intervention to aid in decreasing pain would be:
1. Elevating the head of the bed 30 degrees. 2. Providing large amounts of formula every three hours. 3. Thinning formula so it decreases occurrences. 4. Keep the baby held upright for an hour after feedings.
While planning care for a surgical patient, the nurse recognizes that which of the following effects of hyperglycemia is seen in the immediate postoperative period?
a. Increases risk for infection in the diabetic patient only b. Decreases risk for surgical site infection c. Increases risk for infection in diabetic and nondiabetic patients d. Has no effect on the body's ability to fight infection