A patient who is hospitalized with abdominal pain and watery, incontinent diarrhea is diagnosed with Clostridium difficile. In planning care for the patient, the nurse will:
order a diet with no dairy products for the patient.
explain to the patient why antibiotics are not being used.
place the patient in a private room with contact isolation.
Teach the patient about proper foal handling and storage.
The Correct Answer is C
Clostridium difficile is a highly contagious bacteria that can spread easily from person to person. The patient should be placed in a private room to prevent the spread of the infection to other patients. Contact isolation precautions should also be implemented, which involves wearing gloves and a gown when entering the patient's room, as well as washing hands thoroughly after leaving the room.
Options a and b are not directly related to the care of a patient with Clostridium difficile. Option d is also not directly related, although proper food handling and storage can help prevent the spread of other types of infections.
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Related Questions
Correct Answer is C
Explanation
The operating room is a sterile environment, and it is critical to maintain a clean and controlled environment to reduce the risk of infection to the patient. The measures taken include maintaining positive air pressure, controlling temperature and humidity, filtering the air, using sterile surgical instruments, and limiting traffic in and out of the operating room. These measures help to prevent the spread of infectious agents that may be present in the operating room. While the other options (a, b, and d) may also be important considerations in the design of the operating room, preventing transmission of infection is the primary goal.
Correct Answer is B
Explanation
The statement "I had the stomach flu earlier this week and couldn't take the hydrocortisone" indicates that the patient may not be adhering to their prescribed medication regimen, which can lead to an Addisonian crisis. Therefore, the nursing diagnosis of ineffective therapeutic regimen management related to lack of knowledge of management of the condition is appropriate.
Addison’s disease is a condition in which the adrenal glands do not produce enough cortisol and aldosterone. Hydrocortisone is a glucocorticoid medication that is often used to replace the cortisol that the adrenal glands are not producing. In the Addisonian crisis, the body is unable to produce the necessary levels of cortisol and aldosterone, which can lead to potentially life-threatening complications such as hypotension, dehydration, and electrolyte imbalances.
The other statements may indicate areas where patient education is needed, but they do not directly relate to the immediate risk of an Addisonian crisis.
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