Author Question: An experienced nurse instructs a new nurse about how to care for a patient with dyspnea caused by a ... (Read 33 times)

asmith134 · **on:** Jun 25, 2018

An experienced nurse instructs a new nurse about how to care for a patient with dyspnea caused by a pulmonary fungal infection. Which action by the new nurse indicates a need for further teaching?

a. Listening to the patient's lung sounds several times during the shift
b. Placing the patient on droplet precautions and in a private hospital room
c. Increasing the oxygen flow rate to keep the oxygen saturation above 90
d. Monitoring patient serology results to identify the specific infecting organism

Question 2

Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting?

a. Providing supportive care to patients diagnosed with pertussis
b. Teaching family members about the need for careful hand washing
c. Teaching patients about the need for adult pertussis immunizations
d. Encouraging patients to complete the prescribed course of antibiotics

memslove · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Fungal infections are not transmitted from person to person. Therefore no isolation procedures are necessary. The other actions by the new nurse are appropriate.

Answer to Question 2

ANS: C
The increased rate of pertussis in adults is thought to be due to decreasing immunity after childhood immunization. Immunization is the most effective method of protecting communities from infectious diseases. Hand washing should be taught, but pertussis is spread by droplets and contact with secretions. Supportive care does not shorten the course of the disease or the risk for transmission. Taking antibiotics as prescribed does assist with decreased transmission, but patients are likely to have already transmitted the disease by the time the diagnosis is made.