Which of the following nursing measures is appropriate when ...

[student77]

Which of the following nursing measures is appropriate when teaching the client about breaking a link in the chain of infection?
 
  1. Cover one's mouth and nose when sneezing.
   2. Place contaminated linens in a paper bag.
   3. Use personal protective equipment (PPE) sparingly.
   4. Wear gloves at all times.

Question 2

An adolescent with cystic fibrosis is intubated with an endotracheal tube and has been told by the parents that survival may not be likely. The most appropriate nursing diagnosis is which of the following?
 
  1. Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity
   2. Anxiety related to leaving chores undone at home
   3. Potential for Fear of Future Pain related to medical procedures
   4. Powerlessness related to inability to speak to or communicate with friends

[gabrielle_lawrence]

Answer to Question 1

1. Cover one's mouth and nose when sneezing.

Rationale:
Covering one's mouth and nose when sneezing prevents airborne droplets from escaping into the air for others to contract in the chain of infection. Placing linens in a paper bag would allow germs to come out through the bag, and the linen would act as a fomite thus allowing the chain to continue. PPE are not necessary in the community setting. Gloves are not necessary for clients to wear in the home or community.

Answer to Question 2

4. Powerlessness related to inability to speak to or communicate with friends

Rationale:
The adolescent values communication with peers and may feel frustrated that he cannot speak to them while intubated. The adolescent is present, not future, oriented and is unlikely to worry about household chores or future unknown procedures. The adolescent with cystic fibrosis is likely to be underweight and is unlikely to take in more calories than needed while intubated.

[student77]

Thanks

[gabrielle_lawrence]

Welcome