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sosobon sosobon
wrote...
Posts: 582
Rep: 1 0
6 years ago
The nurse is caring for a patient under droplet precautions. What should the nurse wear when providing care to this patient?
 
  1. head covering and gown
  2. shoe covering and gown
  3. gloves only
  4. mask and eye protection or face shield

Question 2

A patient being treated for a stage 3 pressure ulcer is demonstrating delayed healing. What information in the patient's medical record and history would explain this delay?
 
  Select all that apply.
 
  1. The patient had total knee replacement 7 years ago.
  2. The patient takes insulin for control of type 2 diabetes mellitus.
  3. The patient was diagnosed with peripheral vascular disease 5 years ago.
  4. The patient was prescribed steroids for treatment of chronic lung condition.
  5. The patient takes acetaminophen 650 mg twice a day for arthritis pain.

Question 3

During a home visit the nurse determines that family members would benefit from receiving the hepatitis B vaccination. Which family members did the nurse identify as being at risk for this illness?
 
  Select all that apply.
 
  1. 29-year-old female with ovarian cysts
  2. 21-year-old male with Down syndrome
  3. 63-year-old male with end-stage renal disease
  4. 57-year-old female newly diagnosed with diabetes mellitus
  5. 32-year-old male with liver disease from acetaminophen abuse

Question 4

A patient with methicillin-resistant Staphylococcus aureus (MRSA) is no longer responding to the medication vancomycin (Vancocin). What medication might be indicated for this patient?
 
  1. penicillin
  2. gentamycin
  3. tetracycline
  4. linezolid
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 4

To provide care to a patient under droplet precautions, the nurse should wear a mask and eye protection or a face shield when entering the room. Head and shoe covers and gowns would not protect the areas vulnerable to droplets. Gloves alone are not adequate protection against droplet secretions.

The answer to question 2

Correct Answer: 2, 3, 4

Chronic diseases may impair healing. High blood glucose levels impair chemotactic and phagocytic function. Arterial and venous disorders impair the delivery of oxygen and nutrients to heal tissues and remove toxins, bacteria, and other waste products from the wound area. Drug therapy with corticosteroids may suppress the immune and inflammatory responses and delay healing. A history of total knee replacement would not delay healing in this patient. Acetaminophen is not identified as a medication that adversely affects healing.

The answer to question 3

Correct Answer: 3, 4, 5

Hepatitis B (HB) vaccine is recommended for people newly diagnosed with diabetes mellitus who are under age 60 years and for those in high-risk populations such as patients with end-stage renal disease or chronic liver disease. The vaccine is not recommended for those with ovarian cysts or Down syndrome.

The answer to question 4

Correct Answer: 4

Linezolid (Zyvox) is the first antibiotic in a class of antibiotics called oxazolidinones. This antibiotic inhibits protein synthesis and is effective against organisms that are resistant to both vancomycin and methicillin. Because of its usefulness against those organisms, its use should be reserved for infections caused by vancomycin-resistant enterococci (VRE) and MRSA. Penicillin, gentamycin, and tetracycline are not identified as medications to treat vancomycin-resistant Staphylococcus aureus.
sosobon Author
wrote...
6 years ago
Brilliant
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