A nurse is caring for a client who has respiratory infection. Study with Quizlet and memorize flashcards containing terms like A nurse has just received change-of-shift report on four clients. When responding to the client, the nurse would incorporate an understanding of which factor as contributing to the organism's resistance? The nurse is caring for a client on droplet precautions who has a prescription for a CT scan. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions? a. Planning and evaluation control and prevention Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. Dorsal recumbent. When transporting the client to radiology, the nurse should ensure that the transporter uses protective equipment correctly to reduce the environmental spread of infection when the client is outside the room. Disturbed sensory perception (kinesthetic) related to CNS effects b. Which measures should the nursing staff prioritize in preventing the spread of MRSA to clients who are currently MRSA-negative?, To eliminate needlesticks as potential hazards to The nurse is caring for a client who has just returned to the unit after a colon resection. Clustered skin vesicles 2. Prone. 1 hr b. An older woman admitted from a a) washing hands before removing the contaminated gown b) folding the soiled side of the gown to the inside before removing c) Wiping the soiled surface of the gown with disinfectant d) removing the garments that are most contaminated first, The nurse is caring for a client with an active upper respiratory infection. The nurse knows that health care professionals are required to report communicable and infection diseases. What are the elements in the chain of infection? 4) "Drugs that require refrigeration lose potency if kept at room temperature. Which precautions will the nurse begin?, Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. c) prototypes. If infection occurs, teach the client to take anti-infectives as prescribed. What may induce acute bronchitis? A. Collapsed bronchial structures C. Orthopneic. D) The patient has a hemothorax. Which of the following instructions should the nurse include? A. The nurse should use warm water to wash hands to decrease the risk of removing protective oils from skin. area of redness is measured in 3 days and determines whether tuberculosis is present. "I should sit whenever possible to conserve my energy. 1, 2, 4, 3. C) The patient needs physiotherapy. , The nurse is caring for a patient admitted with an acute exacerbation of chronic obstructive pulmonary disease. Colonization by host bacteria b. The client has bipolar disorder. c. The nurse understands that an infection occurs in a cycle and involves several elements. What information is most important for the nurse to share with this client? The nurse is caring for a client status post adenoidectomy. Postal Service 4. ), A nurse is caring for a client who has a streptococcal pharyngitis and an allergy to penicillin. Which of the following is an appropriate nursing action? 1. Which of the following characteristics would the nurse expect to note when assessing the lesions of this infection? 1. Which of the following statements should the A nurse is caring for a client who states, "I am feeling so much better. Encourage the client to ambulate frequently. Planning Care for Client Who Has an Acute Respiratory Infection illness management. Which of the following interventions should the nurse include in the pan of care? Select all that apply: 1. Aug 9, 2024 · It is essential for nurses to model appropriate hygiene practices in all aspects of client care. Which of the following actions should the nurse plan to take when caring for this client? Select all that apply, A nurse is assisting with caring for a female client who has a newly placed ileostomy, A nurse is caring for a client The nurse is caring for a client with acute respiratory distress syndrome (ARDS) who was just intubated, placed on mechanical ventilation, and is receiving a neuromuscular blocking agent (NMBA). Encourage the client to increase fluid intake. A. In which order should the personal protective equipment (PPE) be removed? a. The client had dextrose 5% in 0. The nurse should recognize that which of the following drugs can be safely administered to this client?, A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. Inflammatory processes d. The drainage touches a cut on a nurse's skin, leading to an infection. Encourage regular use of the incentive Study with Quizlet and memorize flashcards containing terms like In which order will the nurse take these actions before doing wound irrigation and a dressing change for a client who has a wound infected with methicillin-resistant Staphylococcus aureus (MRSA)? 1. The client had an appendectomy 6 months ago. Respiratory alkalosis from anxiety and hyperventilation 3. Sims' D. Which infection control measures Study with Quizlet and memorize flashcards containing terms like A patient comes to the clinic with symptoms as seen in a cold. Encourage coughing and deep breathing. Study with Quizlet and memorize flashcards containing terms like An acute medicine unit of a hospital currently has a number of clients who have tested positive for methicillin-resistant Staphylococcus aureus (MRSA). reposition the client, A nurse is caring for a client who has a three-chamber closed chest tube system. Which statement by the client indicates a need for further instruction? 1. Jun 11, 2023 · Introduction: Lower respiratory tract infections (LRTIs) can range from mild respiratory illnesses to severe conditions such as pneumonia or bronchitis. The client complains of chest burning. 45% sodium chloride infusing at 125 mL/hr, gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg in 50 mL at 1000 and 1600, 250 mL of blood over 2 hr, and a nasogastric flush of 30 mL every 2 hr. A newly immigrated woman from Korea 3. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. a nonrebreather mask should fit snugly over a client's face c. Metabolic acidosis from calcium loss due to broken bones 4. The nurse should base her response on the fact that the: A. The client is 71 years old. Study with Quizlet and memorize flashcards containing terms like The nurse learning about infection discovers that which factor is the best and most important barrier to infection? a. C. The client is a male. C A nurse is reviewing the medical record for a client who has a health care associated infection (HAI). The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? (select all that apply. The nurse suspects the client has acquired an infection. The nurse is writing a care plan for a client who has been prescribed a nasal steroid. Metabolic alkalosis from Study with Quizlet and memorize flashcards containing terms like The nurse has reinforced instructions to a client with tuberculosis about proper handling and disposal of respiratory secretions. Apr 30, 2024 · In this nursing care plan and management guide, learn how to provide care for patients with with impaired balance of gas exchange. Chemical irritation B. Study with Quizlet and memorize flashcards containing terms like A client with an upper respiratory tract infection has been prescribed an antibiotic that the nurse is not familiar with. perform hand hygiene 4. ) A. Which The nurse is caring for a client with acute respiratory distress syndrome who is intubated, on mechanical ventilation, and receiving a neuromuscular blocking agent (NMBA). The nurse should assist the client into which of the following positions. The nurse is caring for a client with a lower respiratory tract infection. 2. The nurse should instruct the client to report which of the following adverse effects of the drug? (Select all that apply. D. The nurse determines that the client understands the instructions if the client verbalizes to take which measure?, The nurse prepares to give a bath and change the bed linens for a client with Study with Quizlet and memorize flashcards containing terms like A patient comes to the clinic with symptoms as seen in a cold. clamp the client's chest tube 4. Which of the following illustrate the rationale for reporting? (Select all that apply. Which of the following actions should the nurse take to promote thinning of respiratory secretions? A. Use alcohol-based hand sanitizers on hands for at least 10 seconds. By utilizing this guide, nurses can enhance their skills in identifying, preventing, and managing infections. 1) insert the catheter at a 45 degree angle 2) place the clients arm in a dependent position 3) shave excess hair from the insertion site 4) initiate IV therapy in the veins of the hand CORRECT: 2) place the clients arm in a dependent position 1) generally the nurse should insert at a 10 to 30 degree angle but for older adults an angle of 10 to 15 degrees is preferable because veins are closer Study with Quizlet and memorize flashcards containing terms like A client has a diagnosis of HIV and has been admitted to the hospital with an opportunistic infection that originated with the client's normal flora. The nurse should inform the client that influenza is transmitted by which of the following modes?, A nurse is caring for a client who has acquired an infection from a visitor. See full list on nurseslabs. ", The nurse is caring for a 23-year-old female client who uses oral contraceptives and has been prescribed ampicillin for treatment of a respiratory infection. Direct lung damage D. Jul 8, 2024 · The nurse is caring for a patient who has a respiratory infection. A client diagnosed with human immunodeficiency virus (HIV) A client diagnosed with pneumonia A client diagnosed with active tuberculosis A client who has been exposed to tuberculosis Which of the following actions should the nurse take? A. What information is most important for the nurse to share with this client? a) Use a type of barrier birth control while you are taking this antibiotic. My fever is gone, and I have a good appetite. Study with Quizlet and memorize flashcards containing terms like 1. Aug 9, 2024 · Gain a deeper understanding of nursing assessments, evidence-based interventions, realistic goals, and nursing diagnoses tailored to infection prevention and control. The nurse finds the client in severe respiratory distress when entering the room. The nurse is caring for a 23-year-old female client who uses oral contraceptives and has been prescribed ampicillin for treatment of a respiratory infection. Which health care provider's orders should the nurse question? Select all that apply. Gastrointestinal secretions c. 2 hr c. Study with Quizlet and memorize flashcards containing terms like which of the following should the nurse recognize as a sign of possible infection and a post-operative client?, a nurse is reinforcing discharge teaching with a client who is immunocompromised. " 3 A nurse is providing care to a client who has developed an infection due to Candida. Which of the following links in the chain of infection does the faucet represent ? A nurse is planning to admit a client who has a respiratory syncytial virus (RSV). The client ask what may have caused the infection. b. What is a role of the "clean" nurse?, A nurse is reviewing an adult client's chart and sees that the client is Study with Quizlet and memorize flashcards containing terms like When is it necessary for the nurse to implement the observable personal protective equipement (PPE) intervention? Providing care to a client in isolation Feeding a client known to spit food Double-bagging biohazardous materials Suctioning a tracheostomy, The nurse has completed an intervention with a client. The infection is resistant to several medications. use a nonrebreather mask to deliver low flow oxygen d. , A client with an upper respiratory tract infection has been prescribed an antibiotic that the nurse is not familiar with. What does the nurse suspect? a) Infection b) Postoperative bleeding c) Edema of the upper airway d) Plugged tracheostomy tube A nurse is caring for a client who has dyspnea caused by a respiratory infection. The client is an example of which of the 26. d. If taking antibiotics, instruct the client to take the full course of antibiotics even if symptoms improve or disappear. The client asks the nurse how he may have developed this infection. strip the client's chest tube 3. Which diagnostic test should the nurse perform first?, A nurse practitioner diagnosed a patient with an infection in the maxillary sinuses. Bacteria D. Closed bronchial tree Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who is being placed on transmission-based precautions. Get to know the nursing assessment, interventions, goals, and nursing diagnosis specific to inadequate ventilation/perfusion by referring to this comprehensive guide. An uninsured man who is homeless 2. Health care workers B. impaired gas exchange The nurse working on a medical respiratory nursing unit is caring for several clients with respiratory disorders. What group of upper respiratory drugs causes local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow? A) Antitussives B) Decongestants C) Expectorants D) Mucolytics, What would be the nurse's best response if a patient A nurse is calculating a client's intake for a 12-hr shift. What group of upper respiratory drugs causes local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow? A) Antitussives B) Decongestants C) Expectorants D) Mucolytics, What would be the nurse's best response if a patient Study with Quizlet and memorize flashcards containing terms like The clinic nurse is caring for a client with acute bronchitis. Furniture E. "I should take hot baths because they are relaxing. asthma d. 1, 4, 3, 2 c. Skin and mucous membranes, , . The nurse should plan for the blood to infuse over which of the following lengths of time? a. Drug irritation C. S. The client is most likely to experience what type of acid-base imbalance? 1. Study with Quizlet and memorize flashcards containing terms like A nurse is assigned to care for a client with herpes zoster. What would be an appropriate nursing diagnosis for this client? a. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider? A nurse is caring for a client who acquired an infection after touching a faucet that an infected person had touched. A generalized body rash 3. Which healthcare provider's orders should the nurse anticipate? Select all that apply. the reservoir bag on a nonrebreather mask should collapse with exhalation b. During assessment, the nurse finds that the patient is experiencing increased dyspnea. Place the client in a private room. a nonrebreather mask dries a client's mucous membranes, A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. 4, 2, 3, 1 b. hearing loss c. The nurse has administered a Mantoux (tuberculin) test to four clients. In this section, we will cover subjective and objective data related to pneumonia. Study with Quizlet and memorize flashcards containing terms like The client, with a lower respiratory airway infection, is presenting with the following symptoms: fever, chills, dry hacking cough, and wheezing. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client whose respiratory status has declined since shift report. Which of the following links in the chain of infection does the faucet represent?, A nurse is assisting with teaching a newly licensed nurse about surgical asepsis. What should the nurse caring for the client do if not familiar with the new medication? a. com Feb 9, 2022 · The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. ) - nitrofurantoin - amoxicillin - aztreonam - cefotetan The nurse is caring for a client with a respiratory infection. Risk for injury related to suppression of inflammatory reaction c. Small blue-white spots with red bases 4. " 2. Viruses, A client has a draining, infected wound. Respiratory acidosis from inadequate ventilation 2. B) The patient has pneumonia. Don gloves. Select the client who will most likely have a suppressed response. Why did this client most likely become ill from his resident microorganisms?, The nurse is caring for a client who is hospitalized and has an indwelling urethral catheter. 4, 2, 1, 3 d. The client has a head injury, a fractured right rib, and various abrasions and contusions. Administer an antibiotic with which the nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who acquired an infection after touching a faucet that an infected person had touched. The nurse should identify which of the following findings as a risk factor for acquiring an HAI? a. Use hot water when washing Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has severe acute respiratory syndrome (SARS). , A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. Study with Quizlet and memorize flashcards containing terms like The nurse provides home care instructions to a client with systemic lupus erythematosus and tells the client about methods to manage fatigue. A fiery red edematous rash on the cheeks, A client returns A nurse has finished giving care to a client who has a communicable respiratory infection. Put on gown 3. Equipment F. B. Place the client in a negative airflow room. What type of transmission is this?, A client who has a respiratory infection sneezes without covering the mouth and nose. What should the nurse caring for the client do if not familiar with the new medication? Which action by the nurse has the highest priority when caring for a client diagnosed with vertigo?-Encourage the client to keep his/her eyes open-Administer antivertiginous medication as ordered-Encourage the client to stare straight ahead, focusing on one object-Educate the client on using the call light for assistance with ambulation Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with acute viral conjunctivitis. Impaired gas exchange B. Clients C. There is no visible Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has pneumonia. skin test doesn't differentiate between active and dormant tuberculosis infection. 6 hr, A nurse is assisting in the care of a client who has a prescription to Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a newly licensed about hand hygiene. Select the area that the nurse Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with several broken ribs. Avoid administering the prescribed medication to the client. Place goggles over eyes 5. What might be revealed by a Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who has heart failure and a prescription to receive a unit of packed red blood cells. Which of the following clients should the nurse assess first? A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A to Client Problem Health Promotion and Disease Prevention Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complications Therapeutic Procedures Interprofessional Care Nursing Care Medications Client Education. Necrosis of the alveoli D. Put on mask to cover nose and mouth. Which nursing diagnosis best supports the assessment by the nurse? a) Ineffective Airway Clearance b) Ineffective Breathing Pattern c) Impaired Gas Exchange d) Risk for Infection, A Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. d) the standard with which newer, similar drugs are compared. seizure disorder b. The nurse should determine that which client on the nursing unit is at the lowest risk for infection with tuberculosis? 1. The client has a blood pressure of 142/88 mm Hg, pulse of 102 bpm, and respirations of 26 breaths/minute. The nurse is caring for an adolescent client injured in a snowboarding accident. A man who is an inspector for the U. The nurse should A) The patient has a narrowed airway. Place the client in a room that has negative air pressure of at least 6 air exchanges per hour 2. Ineffective airway clearance related to bronchospasm d Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has influenza. Nursing care plays a critical role in managing LRTIs by promoting respiratory function, managing symptoms, and preventing complications. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client Insert the suction catheter while the client is swallowing. The client asks how they acquired the infectious agent. increase the client's wall suction 2. When planning a focused respiratory assessment, the nurse should know that this type of infection most often causes which type of impairment? A. Wear an N95 respirator when caring for the client. Aspiration, The occupational nurse is completing routine assessments on the employee. " The nurse should identify the client is likely in which of the following stages of infection? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse notes that the IV insertion site A nurse in a clinic is caring for a client who reports generalized aches and fever for the past 12 hours. 4 hr d. A nurse cares for several clients on an inpatient unit. The client is asking the nurse a question regarding the Mantoux test for tuberculosis. The client has tachypnea, is restless, and displays cyanosis. anemia, A nurse is A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. b) generic name drugs. , A client who a. Place a mask on the client when they leave their room. oziff bjq cgrhqss mjro zyjk wihwku etxw mejsbdf mpsufy lctepgp