An 80-year-old client is recovering in the ICU from septicemia. ...

[littleanan]

An 80-year-old client is recovering in the ICU from septicemia. Which of the following interventions planned by the nurse will help prevent further infection of this client? (Select all that apply.)
 
  1. Turn, cough, and deep breathe q shift
   2. Sterile wound care
   3. Oral care
   4. Skin care
   5. Foley drainage on the bed at the client's feet

Question 2

The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse plans to schedule the blood to be drawn at which of the following times?
 
  1. A few minutes before the next scheduled dose of medication
   2. 12 hours after the oral administration of the medication
   3. 30 minutes after the IV administration
   4. During the infusion of the antibiotic

[sarah_brady415]

Answer to Question 1

3. Oral care
4. Skin care

Rationale:
Good oral and skin care will prevent breakdown and prevent entry by bacteria. In order to prevent skin breakdown and promote respiratory function, the client is turned at least every 2 hours. There is no evidence that this client has a wound. The Foley drainage bag is always kept below the level of the client's bladder to prevent reflux.

Answer to Question 2

1. A few minutes before the next scheduled dose of medication

Rationale:
Antibiotic peak and trough levels monitor therapeutic blood levels of the prescribed medication. The therapeutic rangethat is, the minimum and maximum blood levels at which the drug is effectiveis known for a given drug. By measuring blood levels at the predicted peak (12 hours after oral administration, 1 hour after intramuscular administration, and 30 minutes after IV administration) and trough, usually a few minutes before the next scheduled dose, it is also possible to determine whether the drug is reaching a toxic or harmful level during therapy, increasing the likelihood of adverse effects.

[littleanan]

Excellent

[bulacsom]

TYSM