A hospital educator is reiterating the importance of Standard Precautions to a group of nursing students who will soon begin a clinical rotation on the unit. Which of the following statements best describes the application of Standard Precautions?
A) Standard Precautions should be used when providing care for any patient who has a white blood cell (WBC) count of 10.8 109/L or greater.
B) Standard Precautions should be applied in the care of any patient who has an actual or suspected primary or secondary immunodeficiency.
C) Standard Precautions should be applied to patients regardless of diagnosis or presumed infectious status.
D) Standard Precautions should be used in the care of any patient whose diagnosis is attributable to an infectious process.
Question 2
A nurse in the intensive care unit is caring for a patient who is being treated for urosepsis.
Over the past several hours, the patient's condition has deteriorated, and the care team believes that the patient is experiencing disseminated intravascular coagulation (DIC). What assessment should the nurse prioritize in the immediate care of this patient?
A) Close observation for signs of internal or external hemorrhage
B) Monitoring the patient for signs of fluid overload due to polycythemia
C) Assessment of the patient's arterial blood gases (ABGs)
D) Assessing the patient's passive range of motion to gauge thrombus formation
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