A nurse is assessing a client who has a Clostridium difficile infection. The nurse should monitor for which of the following complications during the early stages of this infection?

Liver failure

Dehydration

Immunosuppression

Peripheral edema

Answer and Explanation

The Correct Answer is B

A. Liver failure: Liver failure is not a common complication of Clostridium difficile infection.
B. Dehydration: Clostridium difficile causes severe diarrhea, which can lead to dehydration in the early stages.
C. Immunosuppression: Immunosuppression is not a direct complication of Clostridium difficile infection.
D. Peripheral edema: Peripheral edema is not commonly associated with Clostridium difficile infection.

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Correct Answer is D

Explanation

A. Provide information about the risks of a surgical procedure to the client. Providing risk information is part of informed consent, not specifically part of Universal Protocol.
B. Request the client sign the informed consent form after administering a preoperative sedative. Informed consent should be obtained before administering sedatives to ensure the client is fully aware and able to consent.
C. Mark the client's surgical site with a small strip of nonporous tape. The surgical site should be marked with a permanent marker to ensure it remains visible and clear throughout the surgical preparation and procedure.
D. Call a "time out" to verify client identity before starting a surgical procedure. This is correct. The Universal Protocol includes a "time out" to verify the correct patient, procedure, and site before starting the surgery.

A. Hold the dropper just inside the ear canal. B. Apply sterile gloves prior to administration. C. Have the client remain in a side-lying position for 10 min. D. Pull the pinna up and back.

Correct Answer is D

Explanation

A. Hold the dropper just inside the ear canal. The dropper should be held above the ear canal to avoid contamination and injury.
B. Apply sterile gloves prior to administration. Sterile gloves are not necessary for administering ear drops. Clean gloves are sufficient.
C. Have the client remain in a side-lying position for 10 min. This is unnecessary. The client can return to an upright position after the medication has been administered.
D. Pull the pinna up and back. This is correct for adults. Pulling the pinna up and back straightens the ear canal for proper medication administration.

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A nurse is assessing a client who has a Clostridium difficile infection. The nurse should monitor for which of the following complications during the early stages of this infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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