An appropriate technique for the nurse to implement for the ...

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An appropriate technique for the nurse to implement for the patient on isolation precautions is to:
 
  a. double-bag all disposable items and linens.
  b. put another gown over the one worn if it has become wet.
  c. place specimen containers in plastic bags for transport.
  d. hand items to be reused directly to a nurse standing outside the room.

Question 2

The patient is an 86-year-old woman who is being admitted for dehydration and pneumonia . The patient is lying in bed but tells the nurse that she needs to go to the bathroom.
 
  The nurse tells the patient that she will stay with her and will help her get there. The patient states, That's OK. I can make it on my own. The nurse should:
  a. help the patient to the bathroom and stay with her.
  b. allow the patient to get up on her own and go to the bathroom.
  c. allow the patient to go to the bathroom and call for help if needed.
  d. insert a Foley catheter.

[Joy Chen]

Answer to Question 1

C
Transfer the specimen to a container without soiling the outside of the container. Place the container in a plastic bag and label the outside of the bag or as per agency policy. Specimens of blood and body fluids are placed in well-constructed containers with secure lids to prevent leaks during transport. Use single bags that are impervious to moisture and sturdy to contain soiled articles. Use the double-bagging technique if necessary for heavily soiled linen or heavy wet trash. Linen or refuse should be totally contained to prevent exposure of personnel to infective material. Avoid allowing the isolation gown to become wet; carry the wash basin outward, away from the gown; avoid leaning against wet tabletops. Moisture allows organisms to travel through the gown to the uniform. Remove all reusable pieces of equipment. Clean any contaminated surfaces with hospital-approved disinfectant. All items must be properly cleaned, disinfected, or sterilized for reuse.

Answer to Question 2

A
Orthostatic hypotension, also referred to as postural hypotension, occurs when a normotensive person develops symptoms (e.g., lightheadedness, dizziness) and low blood pressure when rising to an upright position. Orthostatic changes in vital signs are good indicators of blood volume depletion. In severe cases of orthostatic hypotension, loss of consciousness may occur. Foley catheters are believed to be a major source or urinary tract infection.

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TYSM

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