A nurse is caring for several older clients in the hospital that ...

[daltonest1984]

A nurse is caring for several older clients in the hospital that the nurse identifies as being at high risk for healthcare-associated pneumonia. To reduce this risk, what activity should the nurse delegate to the unlicensed assistive personnel (UAP)?
 
  a. Encourage between-meal snacks.
  b. Monitor temperature every 4 hours.
  c. Provide oral care every 4 hours.
  d. Report any new onset of cough.

Question 2

A client has been admitted for suspected inhalation anthrax infection. What question by the nurse is most important?
 
  a. Are any family members also ill?
  b. Have you traveled recently?
  c. How long have you been ill?
  d. What is your occupation?

[amy.lauersdorf90]

Answer to Question 1

ANS: C
Oral colonization by gram-negative bacteria is a risk factor for healthcare-associated pneumonia. Good, frequent oral care can help prevent this from developing and is a task that can be delegated to the UAP. Encouraging good nutrition is important, but this will not prevent pneumonia. Monitoring temperature and reporting new cough in clients is important to detect the onset of possible pneumonia but do not prevent it.

Answer to Question 2

ANS: D
Inhalation anthrax is rare and is an occupational hazard among people who work with animal wool, bone meal, hides, and skin, such as taxidermists and veterinarians. Inhalation anthrax seen in someone without an occupational risk is considered a bioterrorism event and must be reported to authorities immediately. The other questions are appropriate for anyone with an infection.

[daltonest1984]

Thank you

[amy.lauersdorf90]

No problemo