Author Question: The nurse is responsible for the construction of an isolation unit during an H5N1 outbreak. The unit ... (Read 114 times)

darbym82 · **on:** Jul 8, 2018

The nurse is responsible for the construction of an isolation unit during an H5N1 outbreak. The unit is designated for only those clients with a confirmed diagnosis of H5N1. Which unit would be easily adapted to client needs?

A) 12-room unit with negative air pressure units
B) 15-room unit with a portable supply of PPEs
C) 8-room unit with four code carts
D) 12-room unit with four to six air changes per hour

Question 2

An 80-year-old client is being treated for chronic urinary tract infections. She has received multiple antibiotics in the past 6 months. The physician orders a urine culture.

The results of the urine culture are as follows: Staphylococcus aureus >100,000 colonies and demonstrated resistance to sulfamethoxazole and trimethoprim (Bactrim), penicillin, methicillin, and erythromycin. The client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) on the basis of the findings of her urine test. Based on the client's history, a cause of the MRSA might be microbial:
A) Rejection
B) Assimilation
C) Adaptation
D) Stagnation

Jossy · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: A
Feedback:
For an outbreak of H5N1, place the client in an airborne isolation room (AIR). Such rooms should have monitored negative air pressure in relation to the corridor, with 6 to 12 air changes per hour (ACH), and exhaust air directly outside or have recirculated air filtered by a high-efficiency particulate air (HEPA) filter. If an AIR is unavailable, a portable HEPA filter should be used to augment the number of ACH. Use a fit-tested respirator, at least as protective as a National Institute of Occupational Safety and Health (NIOSH)approved disposable N-95 filtering face piece respirator, when entering the room (DHHS, 2006). The Centers for Disease Control and Prevention (CDC) has recommended nonpharmaceutical community interventions that use social distancing strategies to reduce contact between people.

Answer to Question 2

Ans: C
Feedback:
Microbial adaptation and change in response to the overuse of antibiotics and consequent accumulation in the environment will cause the rapid evolution of resistant pathogens. MRSA is not associated with microbes being rejected, assimilated, or stagnant.