The nurse is assessing a new patient admitted to home health. ...

[kaid0807]

The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)
 
  a. Can you explain the risk for infection in your home?
  b. Have you traveled outside of the United States?
  c. Will you demonstrate how to wash your hands?
  d. What are the signs and symptoms of infection?
  e. Are you able to walk to the mailbox?
  f. Who runs errands for you?

Question 2

The nurse is caring for a patient in protective environment. Which actions will the nurse take? (Select all that apply.)
 
  a. Wear an N95 respirator when entering the patient's room.
  b. Maintain airflow rate greater than 12 air exchanges/hr.
  c. Place in special room with negative-pressure airflow.
  d. Open drapes during the daytime.
  e. Listen to the patient's interests.
  f. Place dried flowers in a plastic vase.

[Liamb2179]

Answer to Question 1

ANS: A, B, C, D
In the home setting, the objective is that the patient and/or family will utilize proper infection control techniques. Asking the patient and family about handwashing, risk of infection, recent travel, and signs and symptoms of infection is important in evaluating the patient's knowledge based on infection control strategies. Activity assessment is important for evaluation of the overall status of the patient, and knowing who runs errands gives you information on who is helping to meet the needs of the patient, but neither of these relates to decreasing the risk of infection.

Answer to Question 2

ANS: B, D, E
This form of isolation requires a specialized room with positive airflow. The airflow rate is set at greater than 12 air exchanges/hr, and all air is filtered through a HEPA filter. Isolation disrupts normal social relationships with visitors and caregivers. Take the opportunity to listen to a patient's concerns or interests. Open drapes or shades and remove excess supplies and equipment. Patients are not allowed to have dried or fresh flowers or potted plants in these rooms. All health care personnel wear an N95 respirator every time they enter the room for patients, and a private room with negative airflow is required for patients on airborne precautions.

[kaid0807]

Gracias!

[31809pancho]

TYSM