Fundamentals:skills Nursing application:Infection prevention and control
The client is on precautions and the nurse is finished with care. What is the correct order of removing the personal protective equipment (PPE)?
1.Gloves 2.Face shield 3.Gown 4.mask
After the discharge teaching was completed, which statement made by Ms. Martin indicates a need for further clarification by the nurse?
"I can share my bath towel with my husband."
Ms. Martin was admitted for treatment for methicillin-resistant Staphylococcus aureus (MRSA) and is in contact precautions. Which of Ms. Martin's statements is of most concern to the nurse?
"I will just leave if I don't like isolation."
Ms. Martin asks the nurse why some of the staff members wash their hands at the sink and others just wipe their hands with the stuff in the container. How should the nurse correctly respond to Ms. Martin about hand hygiene?
"It is acceptable to use hand sanitizers for routine decontamination except when the hands are visibly soiled.
Review the scenario. Select all the factors that put Ms. Martin at risk for infection. Jane Martin (preferred pronouns: she, her), a 75-year-old widow, is admitted to the hospital. She had total knee replacement surgery 3 weeks ago. Her vital signs are: Blood pressure, 130/80 mm Hg Temperature, 101°F (38.3°C) orally Pulse, 108 beats/min Respirations 18 breaths/min Ms. Martin has type 2 diabetes and has controlled her disease with oral antihyperglycemic agents.
75-year-old surgery type 2 diabetes
The client tests positive for methicillin-resistant Staphylococcus aureus (MRSA). What are the nurse's best actions? Select all that apply.
Educate the client about MRSA. Gather supplies for contact precautions. Contact the provider for isolation orders
Negative psychological effects of being in isolation occur when typical social relations are disrupted. What can the nurse do to ease these effects?
Implement other social options, such as video chat.
One of the goals for Ms. Martin was to describe ways to prevent transmission of methicillin-resistant Staphylococcus aureus (MRSA). Which statement demonstrates the expected outcome?
Ms. Martin will demonstrate appropriate hand hygiene
Jane Martin's son visits her and asks the nurse what could have contributed to Ms. Martin getting an infection. The nurse bases their answer on knowing that Ms. Martin has a higher risk for developing an infection. Which factors make Ms. Martin more susceptible to infection? Select all that apply.
Poor nutrition Age Stress
Ms. Martin's healthcare provider has decided to put in a peripherally inserted central catheter (PICC) line, so Ms. Martin can receive intravenous antibiotics for 3 weeks. What type of preparation should the nurse anticipate for this invasive procedure? Select all that apply.
The catheter and equipment must be sterile. The nurse should anticipate that the procedure will use surgical asepsis. The staff will be wearing a cap, gown, mask, and sterilized gloves during the procedure
The nurse is having a conversation about Ms. Martin's nursing diagnoses with the next nurse taking over her care:
impaired skin integrity pain, redness, swelling, and drainage anxiety upset deficient knowledge MRSA impaired social interaction
The ____________ is a microorganism like a bacteria or virus. It lives in a ___________such as a person. It leaves via the ____________ through excretions or secretions. Then it infects another person by the ____________ It passes to the next person through the__________ like the mucous membranes or skin. The person will not be infected unless they are a _________
infectious agent reservoir portal of exit mode of transmission portal of entry susceptible host
Ms. Martin has not had much of an appetite since her surgery and has lost 4 pounds. Which nutrients should Ms. Martin increase to support healing?
proteins
The nurse sees a group of nursing students enter Ms. Martin's room who has been diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). They are going to watch a head-to-toe assessment. Which students should the nurse talk with about proper contact precautions? Select all that apply.
white coat putting on gloves putting on surgical mask