Chapter 21: Coordinating Care for Patients with Multidrug-Resistant Organism Infectious Disorders

The nurse is conducting an in-service on the spread of infection in the hospital environment. Which statement should the nurse include regarding the most common mode of pathogen transmission?

"Contact transmission is the most common mode."

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of contact transmission?

"It occurs when I come in direct contact with a pathogen."

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of airborne transmission?

"It occurs when I come into contact with pathogens by breathing."

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of vector-borne transmission?

"It occurs when I get bit by a tick or other insect."

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of vehicle transmission?

"It occurs when I ingest food containing a disease-carrying organism."

The nurse is providing education to a patient who is diagnosed with Clostridium difficile. Which patient statement indicates correct understanding regarding the cause of inflammation?

"Toxins released from the bacteria cause inflammation."

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR) Acinetobacter?

Ampicillin-sulbactam

The infection prevention and control nurse is providing an in-service regarding multi-drug resistant (MDR) infection. Which is the most common site of MDR MRSA colonization the nurse should include in the presentation?

Anterior nares

The nurse is planning care for several patients. Which is a risk factor for a patient developing community-acquired MRSA?

Being younger than 2 years of age

The nurse is planning care for several patients in the hospital environment. Which is a risk factor for a patient developing hospital-acquired MRSA?

Current intensive care unit stay

Which assessment data supports the nursing diagnosis of deficient fluid volume for a patient diagnosed with Clostridium difficile? Select all that apply.

Decreased skin turgor Dry mucous membranes Increased serum creatinine

Which is being studied when a nurse participates in the BUGG (benefits of universal gown and gloving) research initiative? Select all that apply.

Decreasing the length of the hospital stay Decreasing the frequency of adverse events Decreasing the risk for hospital-acquired infection Decreasing the risk for being diagnosed with a bacterial infection during hospitalization

Which should the nurse include in the plan of care for a patient who is diagnosed with a multi-drug resistant (MDR) pneumonia? Select all that apply.

Encourage ambulation Administer prescribed oxygen Implement chest physiotherapy

Which clinical manifestations should the nurse anticipate when assessing any patient diagnosed with a multi-drug resistant (MDR) infection? Select all that apply.

Fever Tachypnea Tachycardia

Which nursing action is appropriate when providing care to a patient who is diagnosed with multi-drug resistant (MDR) MRSA?

Implementing isolation precautions

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR) Clostridium difficile?

Metronidazole

Which is the priority nursing action to decrease the risk of spreading infection among patients diagnosed with Multidrug-Resistant Organisms?

Performing hand hygiene before and after care

The nurse is planning care for several patients in the hospital environment. Which is a risk factor for a patient developing VRE?

Prolonged rehabilitation unit stay

The nurse is providing care to a patient diagnosed with a MRSA skin infection. Which clinical manifestations should the nurse anticipate during the patient assessment? Select all that apply.

Pus Edema Discomfort

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR) VRE?

Quinupristin-dalfopristin

The nurse is planning care for several patients in the hospital environment. Which is a risk factor for a patient developing Acinetobacter baumannii?

Recent surgical procedure

The nurse is planning care for several patients in the hospital environment. Which is a risk factor for a patient developing Clostridium difficile?

Recent use of antibiotics

Which nursing actions are appropriate when collecting a stool sample to determine if a patient is experiencing a C. diff. infection? Select all that apply.

Sending the sample to the laboratory immediately Preparing a requisition for a culture and sensitivity

The nurse is providing care to a several patients in the hospital environment. Which patient requires the nurse to closely monitor respiratory status?

The patient diagnosed with Acinetobacter

The nurse is providing care to a several patients in the hospital environment. Which patient should the nurse include education regarding the need for increased fluid intake in the plan of care?

The patient diagnosed with Clostridium difficile

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multi-drug resistant (MDR) MRSA?

Vancomycin