The nurse is reviewing data for a patient with a wound. Which ...

[Tazate]

The nurse is reviewing data for a patient with a wound. Which type of precaution would the nurse identify as needed by this patient?
 
  1. contact
  2. droplet
  3. airborne
  4. reverse

Question 2

The nurse is reviewing a patient's laboratory results. What conclusion should the nurse make after reviewing these results?
 
  1. adequate nutritional status
  2. risk for impaired immunity
  3. antigenantibody reaction
  4. autoimmune disorder

[SVictor]

Answer to Question 1

Correct Answer: 1

A patient with an infected open wound must be placed under contact precautions to avoid cross-contamination with other patients and staff. Droplet and airborne precautions are not necessary as this is not a respiratory infection. Reverse isolation is for the patient who is immunocompromised.

Answer to Question 2

Correct Answer: 2

The patient is at risk for impaired immunity as the total protein is low (normal 68 g/dL), the albumin is low (normal 3.24.5 g/dL), and globulin is low (normal 2.33.4 g/dL). Normal levels of proteins are needed to maintain immunocompetence. The nutritional status is not adequate, as the protein levels are decreased, the antigenantibody reaction is not related to low levels of protein in this situation, and the protein levels do not indicate an autoimmune disorder.