A nurse is caring for a client who has a new diagnosis of Clostridium difficile and is placed on contact precautions. Which of the following actions should the nurse take?

Use a portable electronic thermometer to take the client's temperature.

Wipe the stethoscope with alcohol after use.

Remove the protective gown before leaving the client's room.

Remove the protective gown before removing gloves.

Answer and Explanation

The Correct Answer is C

A. Using a portable electronic thermometer is incorrect as the device must be dedicated to the client to avoid cross-contamination.
B. Wiping the stethoscope with alcohol after use is insufficient because alcohol-based sanitizers are ineffective against C. difficile spores. The stethoscope should be cleaned with bleach-based disinfectant.
C. Removing the protective gown before leaving the client's room is correct as it prevents the spread of C. difficile spores outside the isolation area.
D. Removing the protective gown before removing gloves is incorrect. Gloves should be removed first to prevent contamination when removing the gown.

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Correct Answer is ["1.8"]

Explanation

Infusion rate (mL/hr) = Desired dose (units/hr) / Concentration of nitroglycerin (units/mL)

First, calculate the concentration of nitroglycerin in the IV bag:

100 mg / 250 mL = 0.4 mg/mL

Next, convert the desired dose from mcg/min to mg/hr:

12 mcg/min 60 min/hr = 720 mcg/hr = 0.72 mg/hr

Finally, plug the values into the formula:

Infusion rate = 0.72 mg/hr / 0.4 mg/mL = 1.8 mL/hr

A. Instruct the assistive personnel (AP) to focus on clients' activities of daily living (ADLs). B. Focus on providing care to clients with life-threatening emergencies. C. Initiate discharging stable clients for bed availability D. Stock additional unit supplies.

Correct Answer is B

Explanation

B. In a disaster situation, prioritizing care for clients with life-threatening emergencies is crucial to ensure that those in the most critical condition receive immediate attention. This aligns with triage principles and ensures that limited resources are used effectively.
A. While addressing ADLs is important, it is secondary to addressing life-threatening emergencies in a disaster scenario.
C. Discharging stable clients can help increase bed availability but should be considered after addressing immediate life-threatening needs.
D. Stocking additional supplies is necessary but should follow after ensuring that life-threatening conditions are managed.

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A nurse is caring for a client who has a new diagnosis of Clostridium difficile and is placed on contact precautions. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.8"]

Explanation

A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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