Identify what the possible sources of infection are for Matthew
What will be an ideal response?
Suggested response: Matthew had a history of MRSA – the case study does not identify if this was a surveillance swab or positive culture indicating he had a previous infection. This should be investigated as, given Matthew's age and medical history, he is at high risk for sepsis with the probability that the organism is MRSA. Matthew has an indwelling device that should be considered a possible infective source and, given that he has presented with abdominal pain, abdominal sepsis can't be ruled out either. Matthew's initial respiratory observations and presenting history do not suggest respiratory sepsis.
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The nurse admits a client at 2 a.m. with a history of Addison's disease. After calling the physician and receiving an order for daily cortisone, the nurse learns that the client "ran out of steroid medication two days ago
" The client says he is fine but that he feels weak. The nurse's priority action is to: 1. Wait until morning to give the ordered cortisone preparation. 2. Administer the cortisone preparation immediately. 3. Call the physician immediately and advise him of the missed cortisone. 4. Place a note on the chart for the physician to see in the morning about the missed dosages of cortisone.
The nurse caring for the resident who is disoriented can provide the best care with which intervention?
a. Ensuring activities are scheduled for the same time each day b. Changing care assignments for assistive personnel frequently to prevent burnout c. Encouraging autonomy by allowing the resident to choose clothes from the closet d. Administering sedatives to calm the pa-tient
Which of the following definitions best describes the term ‘human factors'?
a. Interrelationships of people, to their environment and to each other that need to be considered to optimise performance and assure safety. b. Perioperative team and ancillary healthcare workers within the perioperative environment. c. The environment within which the team functions to provide safe patient care. d. Technical expertise required to manage the perioperative environment.
If a woman calls her midwife to tell her that she has reduced fetal movements at 32 weeks gestation, her midwife should advise her:
a. that the baby will have moved position. b. that it may be significant, and arrange an assessment. c. that it is of no significance, and not to worry. d. that it is normal at this gestation.