A client with purulent drainage from an abdominal surgical incision is admitted with a possible vancomycin-resistant enterococci (VRE) infection. Which nursing intervention(s) should the nurse include in the plan of care? Select all that apply.
Use standard precautions and wear a mask.
Institute contact precautions for staff and visitors.
Explain the purpose of a low bacteria diet.
Monitor the client's white blood cell count.
Send wound drainage for culture and sensitivity.
Correct Answer : B,D,E
A. Standard precautions are important, but VRE requires contact precautions due to its highly transmissible nature. A mask is not specifically required unless there are respiratory symptoms.
B. Contact precautions are essential for preventing the spread of VRE and should be instituted for staff and visitors.
C. A low bacteria diet is not necessary for VRE infections; it is more relevant for immunocompromised patients.
D. Monitoring the white blood cell count helps assess the infection's progression and the body's response.
E. Sending wound drainage for culture and sensitivity is crucial for identifying the specific pathogen and determining appropriate antibiotic treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
The mask should cover both the nose and mouth to ensure effective oxygen delivery and prevent air leaks.
The oxygen flowmeter should be adjusted to maintain the client’s oxygen saturation within the target range.
Placing gauze under the straps can help prevent skin irritation from prolonged use of the mask.
Continuous mask use is usually necessary for effective oxygen therapy. Breaks are generally not recommended unless instructed by a healthcare provider.
Face masks should be cleaned more frequently, typically after every shift or as needed, to maintain hygiene and prevent infection.
The mask should be placed over both the nose and mouth simultaneously to ensure proper fit and effective oxygen delivery.
Correct Answer is B
Explanation
A. Identifying information as a late entry is not appropriate until the system issue is resolved.
B. Notifying the information services department is essential to address the system failure and seek assistance in resolving the issue.
C. Waiting for notification may delay addressing the problem and does not help in the immediate resolution.
D. Printing the EMR from the backup server might be necessary later but does not address the immediate need to fix the system issue.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.