Author Question: A patient was admitted 2 hours ago to the postsurgical unit from PACU following a Hartmann's ... (Read 50 times)

Bernana · **on:** Jul 11, 2018

A patient was admitted 2 hours ago to the postsurgical unit from PACU following a Hartmann's resection (bowel surgery).

During the nurse's most recent assessment of the patient, significant bleeding was noted on the patient's abdominal dressing, which was previously dry and intact. What action should the nurse perform first?
A) Apply a transparent dressing over the existing bandage and position the patient side-lying.
B) Remove the patient's dressing and insert gauze packing if dehiscence is apparent.
C) Check the results of the patient's preoperative blood group and screen,
D) Apply a sterile gauze and hold it in place while applying moderate pressure.

Question 2

The subacute geriatric medicine unit of a hospital is experiencing an outbreak of diarrhea that has been attributed to C. difficile. Which of the following should be the focus of the infection control department's investigation of the outbreak?

A) The logistics of the hospital's food production and meal delivery systems.
B) The hand hygiene habits of staff and their adherence to infection control measures.
C) The housekeeping practices of the cleaning contractors.
D) The individual medication regimens of affected patients.

shaikhs · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D

Answer to Question 2

B
Feedback:
While medications, food delivery systems, and inadequate cleaning practices may play a role in the prevalence and incidence of C. difficile, the bacterium's fecaloral route of transmission means that the hand hygiene practices and infection control measures of staff are paramount.