A nurse manager is teaching a group of newly licensed nurses about vancomycin-resistant enterococci (VRE) infections. Which of the following information should the nurse manager include in the teaching?

"VRE is transmitted through the air by coughing and sneezing."

"VRE infection requires health care workers to wear an N95 respirator."

"VRE infection is treated with vancomycin antibiotics."

"VRE is a common cause of health care-associated infections."

Answer and Explanation

The Correct Answer is D

A. "VRE is transmitted through the air by coughing and sneezing.": VRE is not airborne; it spreads primarily through direct contact with contaminated surfaces or hands of healthcare workers. Airborne precautions are not required for this organism.

B. "VRE infection requires health care workers to wear an N95 respirator.": N95 respirators are required for airborne pathogens such as tuberculosis, not for VRE. Contact precautions, including gloves and gowns, are used for preventing transmission of VRE.

C. "VRE infection is treated with vancomycin antibiotics.": Vancomycin-resistant enterococci are resistant to vancomycin by definition, so other antibiotics such as linezolid or daptomycin are used instead. Treating with vancomycin would be ineffective.

D. "VRE is a common cause of health care-associated infections.": VRE is a significant pathogen in healthcare settings, often causing bloodstream, urinary tract, and wound infections. It is considered a common cause of health care–associated infections due to its resistance and ease of spread.

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Correct Answer is D

Explanation

A. Assist the client in making decisions about the need for life support: Nurses can provide education about treatment options, but making decisions about life support is the client’s responsibility, often in consultation with their provider.

B. Notify the provider of the client's durable power of attorney for health care: While important in care planning, notifying the provider is not the nurse’s primary responsibility under the PSDA. The act requires that clients be asked about advance directives and informed of their rights first.

C. Clarify the legal competency of the client: Determining legal competency is a responsibility of the courts, not nurses. Nurses assess decision-making capacity, but under the PSDA, the main role is to ask and provide information about advance directives.

D. Ask the client whether they have created advance directives: The PSDA requires healthcare institutions to inform clients of their right to make decisions regarding their care, including the right to have advance directives. Asking about existing directives fulfills the nurse’s obligation under this law.

A. "You shouldn't be concerned because the pump is very easy to use." B. "We can talk more about your worries regarding your pump if you'd like." C. "We use these pumps all the time after surgery, and they work great." D. "Your provider wouldn't prescribe this pump if it wasn't the best option for you."

Correct Answer is B

Explanation

A. "You shouldn't be concerned because the pump is very easy to use.": This dismisses the client’s concerns and minimizes their feelings. It does not provide an opportunity for the client to express specific worries or receive education.

B. "We can talk more about your worries regarding your pump if you'd like.": This response acknowledges the client’s concerns and invites further discussion. It promotes trust, encourages open communication, and allows the nurse to provide clarification or teaching.

C. "We use these pumps all the time after surgery, and they work great.": While intended to reassure, this response generalizes and fails to address the client’s individual concerns. It may leave the client feeling unheard or invalidated.

D. "Your provider wouldn't prescribe this pump if it wasn't the best option for you.": This shifts responsibility to the provider and avoids addressing the client’s immediate concerns. It does not promote patient-centered communication or therapeutic interaction.

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A nurse manager is teaching a group of newly licensed nurses about vancomycin-resistant enterococci (VRE) infections. Which of the following information should the nurse manager include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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