A nurse is preparing to lavage a patient in the emergency ...

[a0266361136]

A nurse is preparing to lavage a patient in the emergency department for an overdose. Which tube should the nurse obtain?
 
  a. Ewald
  b. Dobhoff
  c. Miller-Abbott
  d. Sengstaken-Blakemore

Question 2

The nurse is caring for a patient with Clostridium difficile. Which nursing actions will have the greatest impact in preventing the spread of the bacteria?
 
  a. Appropriate disposal of contaminated items in biohazard bags
  b. Monthly in-services about contact precautions
  c. Mandatory cultures on all patients
  d. Proper hand hygiene techniques

[memslove]

Answer to Question 1

ANS: A
Lavage is irrigation of the stomach in cases of active bleeding, poisoning, or gastric dilation. The types of tubes include Levin, Ewald, and Salem sump. Sengstaken-Blakemore is used for compression by internal application of pressure by means of inflated balloon to prevent internal esophageal or GI hemorrhage. Dobhoff is used for enteral feeding. Miller-Abbott is used for gastric decompression.

Answer to Question 2

ANS: D
Proper hand hygiene is the best way to prevent the spread of bacteria. Soap and water are mandatory. Monthly in-services place emphasis on education, not on action. Biohazard bags are appropriate but cannot be used on every item that C. difficile comes in contact with, such as a human. Mandatory cultures are expensive and unnecessary and would not prevent the spread of bacteria.

[a0266361136]

Thanks for the timely response, appreciate it

[xiazhe]

Gracias!