A client who is actively dying says to the RN “Please stop bringing…

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Question Answered step-by-step A client who is actively dying says to the RN “Please stop bringing… A client who is actively dying says to the RN “Please stop bringing meal trays to me.” Which would be the best response for the RN to make? Health Science Science Nursing NUR 105 Share QuestionEmailCopy link Comments (0)

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Question HLTINF001 Comply with infection prevention and control policies and... HLTINF001      Comply with infection prevention and control policies and procedures Part B - Case study questionsRead the case study, then answer the questions that follow.Case study (questions 1-8)Elaine has just been accepted as an enrolled nurse for the local hospital in her home town.  Elaine is very excited about her new career path and is determined to provide the best service possible to the people she will be supporting. Elaine attended the orientation along with two other new employees, and found that Sally, a girl she went to high school with, was also attending. Orientation is to last for three full days. Elaine is surprised by the length of time this will take and a little disappointed not to have hands on work to commence. The timetable that is given to the new employees is very comprehensive and Elaine can see that the days will be fully occupied.After the initial welcome, the first session was infection control. Elaine was introduced to the infection control officer and it was explained that the first contact should be through her immediate supervisor. The Infection Control officer went through the infection control policy and procedures with the new employees, and provided some simpler workflow charts to make the process easier. After morning tea break the topic was hand hygiene. Elaine found this information very interesting, especially that studies showed how hand-washing procedures reduced infection rates. All of the new employees were then shown the correct method of hand hygiene and assessed on their skills in this area. The UV light showed that Elaine had a good technique but that her hands, around the fingernails, were dry and would benefit from moisturising daily. Joyce had a cut on her finger and it was explained that all cuts need to be kept covered with an appropriate dressing such as a coloured Band Aid or waterproof dressing.After lunch the program continued with the demonstration of the correct personal protective equipment to use (PPE) for different scenarios. Elaine and Joyce found how they looked quite amusing with gown, gloves and masks on. It was explained that hair needed to be kept off the face and neatly tied back and it was advised that personal jewellery was not to be worn. When Elaine and Sally saw the slides showing the bacteria present on rings and necklaces they were both shocked. The first day finished with the new employees being welcomed by the infection control nurse who handed out immunisation forms with the recommended immunisations for health care workers.   CS Question 1List the four (4) different types of hand hygiene practices and give an example of when each would be used.AnswerType: 'Avoid the infection entry the wound.'Example: "that all cuts need to be kept covered with an appropriate dressing such as a coloured Band Aid or waterproof dressing."Type: 'Infection risk due to bacteria growth/spread from it.'Example: "Personal jewellery was not to be worn"Type:ExampleType:ExampleCS Question 2Why was Joyce told to cover the cut with a coloured Band Aid?  Answerwound dressing- to protect the wound for further infection and trauma, since  she is assigned to an infection control.  CS Question 3Why would Joyce and Sally need to wear gloves when providing personal support? Answerto protect one's self and others cross contamination, using of PPE is a must! CS Question 4When would Sally and Joyce be required to wear a mask?AnswerWhen meeting every patients who are infections, illness or injury. CS Question 5Explain the terms cleaning, disinfecting and sterilisation.AnswerCleaning- the removal of foreign material from objects-usually done using water with detergents or enzymatic products. Disinfecting-the act of cleaning something with a chemical to destroy bacteriaSterilization- process that kills, or deactivates all forms of life (particularly  referring to microorganisms such as fungi, bacteria, viruses, spores, unicellular eukaryotic organisms such as Plasmodium, etc.) and other biological agents like prions present in a specific surface, object or fluid. CS Question 6How should linen be transported after use?AnswerMust be placed in a Bag at the site of collection and is transported to a specific area in a 'soiled linen' bag provided by the laundry service.CS Question 7Cleaning of equipment is one of the duties for Sally and Elaine. Why is surface cleaning of equipment important?Answersurface can be contaminated with dirt and microorganism, to prevent transmission and infection surface cleaning is doneCS Question 8What additional precautions should Elaine and Sally use if they need to provide care to a person with an infectious respiratory disease?Answerwearing of well fitted N95 mask or higher level respirator and mask must be discarded after leaving the room Read the case study, then answer the questions that follow.Case study (questions 9-15)On the second day of orientation Sally and Elaine were taken to a ward area and shown how to make a hospital bed. Both found this helpful as they had previously only used a Doona at home. At lunch Sally and Elaine talked about their experiences and Sally confided that she was struggling sometimes to understand the language being used. Elaine showed Sally how she had written down some words and abbreviations in her notebook to help her remember. After lunch Elaine and Sally returned to the ward area and were buddied up with John. John had been an enrolled nurse for the last three years and was keen to assist Elaine and Sally to settle into the ward. John showed Elaine and Sally the 'steri' room and the pan room or 'dirty' room and explained what was kept in each area and why items were kept separated. He tells them that they are have a responsibility to follow procedures for infection control and that they need to be aware of potential hazards that they will encounter when performing their job roles.  CS Question 9What area of the ward did John explain where contaminated waste should be disposed of? Give a reason for why the area is kept separate. AnswerBefore entering into the room of the patientBefore touching the patientBefore cleaning/aseptic procedureAfter body exposure riskAfter touching the patientAfter touching patient surroundingsAfter exiting the room of the patient John has explain about Pan room or dirty room. it should be kept separated to prevent cross contamination of possible infection from the ward as well for infection control.CS Question 10Elaine and Sally have taken on a role that includes hazard identification and risk control. Explain what a hazard is and list two areas of their job role that could have an infection risk and be considered hazardous for Elaine and Sally. AnswerHazard is when there is threat to once life and in this case threat to once health since they can be infected by patient they will handle...there were to instances if the health care worker will be assigned in infection ward and secondly in isolation area. Pan room or dirty room. it should be kept separated to prevent cross contamination of possible infection from the ward as well for infection controlCS Question 11What responsibilities do Elaine and Sally have for the control of infection in their work role?AnswerFirst of all they should be protecting theirselves. it is by wearing personal protective equipment such as coveralls, face shields and respirator mask. Another important to note is to prevent further spread by proper gown disposal, disinfection of respirator mask and face shield and proper hand washer thereafter.CS Question 12After identifying a hazard, what should Elaine and Sally do?AnswerAnother important to note is to prevent further spread by proper gown disposal, disinfection of respirator mask and face shield and proper hand washer thereafter.CS Question 13If Elaine and Sally are unsure of what risk control methods to use for the identified hazard, what action should they take?AnswerIf there not certain of what their doing they should ask the nursing supervisor or senior nurse for guidance.CS Question 14What controls should Elaine and Sally implement if they find a workplace hazard?AnswerThey should continually monitoring infection control protocols and procedures based on standard guidelines.CS Question 15If a blood spill occurred on the ward floor from a patient's drain tube, what procedure should be implemented by Sally and Elaine?AnswerBlood spill protocol...using their blood spill kits following infection control guidelines for sanitary purposes. Read the case study, then answer the questions that follow.Case study (questions 16-21)After six weeks Elaine was moved to the operating theatre as the enrolled nurse in this area was to commence their long service leave and needed to be replaced for the next six months. Elaine was excited to be going to this area but also a little apprehensive as she was aware that the work practices would be quite different and infection control would be critical. On entering the operating suite Elaine was given a thorough orientation and tour of the facility. Elaine found that she would be required to wear special clothing when she entered the operating suite and that different uniform or clothing requirements were needed for different areas. Elaine was told that she would commence work in the central sterilising department that was responsible for the cleaning of all the operating bundles and also the sterile stock for the ward areas. As part of her new role Elaine was given the opportunity to undertake the continuous development education program for theatre staff.  Elaine was quite excited about this as one of the modules was on infection control and gave her credit towards her ongoing education as an enrolled nurse. CS Question 16In the theatre complex Elaine will be exposed to blood and sharps on a frequent basis. What should Elaine do if she has a sharps injury?AnswerWash the injured part then remove the object after removing the object clean and disinfect the injury then wrap it with band aid. Wash the injured part then remove the object after removing the object clean and disinfect the injury then wrap it with band aid then inform your superior.wash the injured area first to see if there are any other injured part, if the cut or injury is not to deep you can just remove it by yourself and clean the wound then disinfect the wound after disinfection wrap it with a band aid.CS Question 17In the central sterilising room of the operating department, all of the surgical instruments are brought in after use for cleaning and disinfecting. Before entry, what sign should be on the wall of the department?Answer Sterile Area: to distinguish that beyond that point only sterile uniformed personnel can enter that areaCS Question 18Why is there a separate decontamination area in a theatre complex?AnswerTo avoid cross contamination. The reason,  so that they cannot transfer bacterias or other contaminant from one surface to the otherCS Question 19Can Elaine move equipment and medicaments from one area to the other in the operating suite?AnswerNo, because she is assigned in the sterile area she cannot touch other equipment while she is wearing he sterile uniform.CS Question 20One of the duties Elaine has when cleaning instruments after use in the theatre is to remove all dirt, dust and body fluids. State the process and explain the cleaning of surgical instruments.AnswerRinsing, Cleaning, Drying, Autoclaving.  Rinsing- rinsing instrument in an running water should remove all blood and body fluids and tissueCleaning- using a detergent for the instrument, make sure all the instrument are clean and free from stain and tissue.Drying- air drying so that no moisture is left on the equipmentAutoclaving- steam sterilization of the instrument for reuse of the instrumentCS Question 21Using the hierarchy of control state how splatter and aerosol transmission to materials and equipment can be minimised to prevent the spread of infection.Answerwear proper equipment and always wash your hands:to minimize the spread of infection is wear the proper uniform in the area and always wash hands before and after every procedure   Health Science Science Nursing NURSING HLTINF001 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Please see an attachment for details NURS621 Image transcription textprevious Question Next Question FUFlag : ' use (- rd .9 keys :3 rune canteen quest'cns Which of the followingstatements is true regarding the role of aspirin in the primary prevention of cardiovascular disease (CVD),according to the US Preventive Services Task Force (USPSTF)? O ASpirin use is not advised. 0 U... Show more... Show more Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Hello can you please answer these questions with the correct rationaleto help me understand the question better. Thank you so much. 29. The nurse is reviewing a medication administration record (MAR) for a patient taking oral hypoglycemic drugs. Which drug from the patient's MAR could cause an interaction with oral hypoglycemic drugs? A) Vitamin supplements B) Thyroid replacement drugs C) Beta blockers D) Antibiotics  30. While caring for a patient who recently had an acute myocardial infarction, the nurse notes severe ventricular dysrhythmias on the patient's cardiac monitor. Which drug would the nurse anticipate the healthcare provider to order to treat this dysrhythmia? A) Diltiazem (Cardizem) B) Adenosine (Adenocard) C) Amiodarone (Cordarone) D) Verapamil (Calan)  31. The nurse should assess the client for which common adverse effect of procainamide? A) Drowsiness B) Nystagmus  C) Convulsions D) Dry mouth  32. The nurse is caring for a patient taking niacin to lower her lipid levels in the blood. For which adverse effects would the nurse monitor the patient? A) Hair loss B) Abdominal discomfort C) Halos when looking at light D) Increased appetite E) Hepatotoxicity  33. The nurse working in the emergency department (ED) is caring for a patient who is admitted for an acute myocardial infarction (MI). The healthcare provider has ordered a continuous nitroglycerin drip. Which statement is true about intravenous nitroglycerin administration? A) Nonpolyvinylchloride (nonPVC) plastic intravenous bags and tubing must be used B) Nitroglycerin can be given in the same line as other medications C) There is not a continuous intravenous form; nitroglycerin is given D) The nitroglycerin solution will be slightly colored green or blue  34. The nurse is caring for a patient receiving atenolol (Tenormin). Which information does the nurse need to know about the patient prior to administering this drug? A) Serum potassium level B) Serum albumin level C) Pulse and blood pressure D) Daily height and weight  35. The nurse is caring for a patient with heart failure. Which medication will have a positive inotropic effect? A) Valsartan (Diovan) B) Atenolol (Tenormin) C) Digoxin (Lanoxin) D) Diltiazem (Cardizem)  36. The nurse is caring for a patient who recently had a myocardial infarction (MI). Which medications would the nurse anticipate the health care provider will recommend to this patient as prevention of another MI. A) Vitamin K and an anti-inflammatory B) Omega 3 supplement and an iron supplement 8 | P a g e C) Omega 3 supplement and a baby aspirin daily D) Vitamin A and an anticoagulant  37. The nurse is caring for a patient with essential hypertension who is taking a calcium channel blocker. The nurse would hold the patient's medication based on which assessment finding? A) Patient complains of a nonproductive cough B) Blood pressure of 128/86 C) An oral temperature pf 102 F D) Patient complains of dizziness when standing  38. The nurse is discharging an older adult who lives alone and will need to take a diuretic drug for hypertension. Which would be important for the nurse to emphasize during the discharge teaching? A) Stop taking the medication if feeling dizzy, and take potassium B) The diuretic should be taken with the evening meal C) Do not take the diuretic if leaving the house for the day D) Stand slowly and carefully to prevent orthostatic hypotension  39. The nurse is caring for a child taking somatropin (Humatrope). The nurse knows to monitor the patient for which therapeutic response? A) Decreased muscle strength B) Decreased urinary output C) Increased growth pattern D) Increased caloric intake  40. The nurse is reviewing a medication administration record (MAR) for a patient and reads the order, "Give levothyroxine (Synthroid), 20 mcg, PO once every evening." Which action should the nurse take? A) Question the order, because the dose is too high B) Give the medication as ordered; the order is correct C) Question the order, because the time of day is incorrect D) Change the dose to 200 mg, because that is the correct dose Health Science Science Nursing BSN 265 Share QuestionEmailCopy link Comments (0)
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