Study

Shock, Sepsis, & MDROs 2

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  • A patient is having frequent watery stools due to C. Diff. Which interventions would be appropriate for the nurse to implement? SATA: Imodium per order, rectal tube, barrier cream, peri care after stools, 0.45 NaCl IV
    0.45 NaCl
    Rectal tube, barrier cream, peri-care after stools
    Imodium
  • Which condition is characterized by enhanced clotting and consumption of platelets and clotting factors?
    Disseminated Intravascular coagulation (DIC)
  • Sulfamethoxazole-trimethoprim (Bactrim) given IV or orally is used to treat CAMRSA skin infec. What is one instruction the nurse can provide to the patient that will help decrease the occurrence of renal stones while taking this medication?
    Stay hydrated
  • Which areas of the body are common sites for colonization of MRSA?
    nose, throat, axillae, toe webs, and perineum
  • A patient who is homeless is admitted for the first time to the hospital for MRSA infection to a wound on the hand. What is the most likely source for this infection/where was the infection acquired?
    Community acquired MRSA
  • A patient is admitted from the skilled nursing facility with fever, diarrhea, and an open wound. What is the nurse’s priority action to ensure the safety of everyone in the environment?
    Implement contact isolation
  • What is the most common mode of infection transmission?
    Contact
  • A patient started on metronidazole develops flu-like symptoms along with a painful rash with blisters. What does the nurse suspect? What action does the nurse take?
    Steven Johnson syndrome. Hold the medication and contact provider
  • What is the number one intervention to prevent infection transmission?
    Hand hygiene
  • What term is given to infections acquired in the healthcare setting?
    Nosocomial infections
  • An individual develops gastroenteritis from eating contaminated spinach. Which type of infection transmission has occurred?
    Vehicle transmission
  • Washing hands with soap and water and using bleach wipes to clean equipment are particularly important to prevent transmission of which MDRO?
    Clostridium difficile
  • What is the maximum length of time you should have blood hanging?
    4 hours
  • Which PPE is required for airborne isolation?
    N95 face mask, face shield/goggles
  • What is the main thing that differentiates neurogenic shock from the other types of shock
    Bradycardia occurs in neurogenic shock
  • What are the expected results of epinephrine in anaphylactic shock?
    Smooth muscle relaxation (bronchodilation), vasoconstriction (↑BP)
  • Inflammation of the vein, characterized by erythema, pain, streak formation, hard vein, & purulent drainage
    Phlebitis
  • A patient being treated with antibiotics is susceptible for acquiring which multi-drug resistant infection?
    Clostridium Difficile
  • An infection transmitted through a mosquito bite is transmitted through which mode of infection transmission?
    Vector-Borne transmission
  • What are the two main complications of sepsis/septic shock?
    DIC & MODS
  • A patient who is positive for clostridium difficile and has frequent watery stools is at risk of developing which types of imbalances? Refer to last module
    Fluid and Electrolyte imbalance