Author Question: A nurse is caring for a client with a serious bacterial infection. The client is dehydrated. ... (Read 105 times)

humphriesbr@me.com · **on:** Jul 23, 2018

A nurse is caring for a client with a serious bacterial infection. The client is dehydrated. Knowledge of the physical effects of the infection would support which of the following nursing diagnoses?

A) High Risk for Infection
B) Excess Fluid Volume
C) Risk for Imbalanced Body Temperature
D) Risk for Latex Allergy Response

Question 2

A nurse has completed morning care for a client. There is no visible soiling on her hands. What type of technique is recommended by the CDC for hand hygiene?

A) Do not wash hands, apply clean gloves.
B) Wash hands with soap and water.
C) Clean hands with an alcohol-based handrub.
D) Wash hands with soap and water, follow with handrub.

Toya9913 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
The response of the body to an infectious process (fever), as well as dehydration, would support the nursing diagnosis of Risk for Imbalanced Body Temperature for this client.

Answer to Question 2

Ans: C
The CDC recommends that a health care worker whose hands are visibly soiled or contaminated with blood or body fluids wash the hands with soap and water. If the hands are not visibly soiled, an alcohol-based handrub can be used.