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ch 21 iggy med surg 1

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40 Questions

What is a crucial factor required for effective antimicrobial therapy?

Standardized peak levels

Which factor is NOT necessary for effective antimicrobial therapy?

Standardized trough levels

Why is the proper route of administration essential for effective antimicrobial therapy?

To ensure rapid absorption

Which factor contributes significantly to antimicrobial resistance?

Using a low dose

Why is it important to use the appropriate drug for antimicrobial therapy?

To prevent adverse reactions

What happens if the dose of antimicrobial therapy is insufficient?

Reduced effectiveness

Why is a sufficient length of treatment important in antimicrobial therapy?

To prevent recurrence of infection

What is a potential risk of not following proper antimicrobial therapy?

Development of resistance

What action should the nurse prioritize after receiving information about a shift to the left in a client's white blood cell count?

Notify the provider and request antibiotics.

Which action is NOT necessary after a client is started on antibiotics for a virulent infection?

Notify the provider if the client's condition worsens.

What is the significance of a shift to the left on a white blood cell count in a hospitalized client?

It implies an increase in immature neutrophils seen in bacterial infections.

After starting antibiotics for a client with a virulent infection, what should be the nurse's next priority?

Monitor closely for any signs of sepsis development.

Which statement best describes the role of a shift to the left in white blood cell counts?

It represents an increase in immature neutrophils characteristic of bacterial infections.

What should the nurse inform a client about after being started on antibiotics for an infection?

The potential side effects of the prescribed antibiotics.

In the context of infections, why should a nurse notify the provider when a client exhibits a shift to the left in white blood cell count?

To ensure appropriate antibiotic therapy is initiated promptly.

Which action is most crucial when a client shows signs of a shift to the left in their white blood cell count?

Promptly notify the provider and request further evaluation and treatment.

Which of the following statements is true regarding inhalation anthrax?

No additional precautions are needed beyond standard infection control practices.

Which nursing action is most effective in preventing healthcare-associated infections?

Consistently practicing appropriate hand hygiene.

If a client is suspected of having inhalation anthrax, which of the following precautions would be most appropriate?

No additional precautions beyond standard practices.

Which of the following is the primary reason for healthcare workers to practice consistent hand hygiene?

To prevent the spread of healthcare-associated infections.

Which of the following statements about inhalation anthrax is false?

It is highly contagious and spreads rapidly from person to person.

If a healthcare worker suspects they may have been exposed to inhalation anthrax, which of the following actions should they take?

Report the potential exposure to their supervisor.

Which of the following statements about healthcare-associated infections is true?

They are primarily caused by contaminated hands.

Which of the following actions is least effective in preventing the spread of healthcare-associated infections?

Monitoring daily white blood cell counts.

What is NOT a factor necessary for the transmission of an infection?

Colonization

Which of the following is NOT a true statement regarding Standard Precautions?

Remain 3 feet away from any client who has an infection

What is the primary purpose of Standard Precautions?

To protect healthcare workers from exposure to potentially infectious bodily fluids

Which of the following personal protective equipment (PPE) is NOT mentioned as being required for Standard Precautions?

Goggles

Which of the following is NOT a potential source of infection that Standard Precautions are designed to protect against?

Perspiration

Which of the following statements about Standard Precautions is FALSE?

Gowns should be worn for all client hygiene procedures

Which of the following statements about Standard Precautions is TRUE?

Gloves should be worn when there is a risk of contact with bodily fluids

Which of the following statements about Standard Precautions is FALSE?

Gowns should be worn for all client interactions, regardless of the care being provided

Which statement best describes the rationale for frequent assessment of the client after starting antibiotics for suspected meningitis?

Antibiotics can cause the release of endotoxins, potentially worsening the client's condition.

Which precaution should be implemented for a client diagnosed with meningitis?

Droplet Precautions

Which factor is NOT required for the transmission of an infection?

Presence of a vector for transmission

Which statement accurately describes the role of endotoxins in meningitis?

Endotoxins are released by the lysis of bacterial cell membranes, contributing to the symptoms of meningitis.

Which action by the nurse is most appropriate when caring for a client with suspected meningitis?

Assessing the client frequently for worsening of their condition

Which statement accurately describes the concept of colonization in the context of infection transmission?

Colonization refers to the presence of a pathogen within the body, without causing active infection.

Which statement best explains the need for Droplet Precautions in the case of meningitis?

Meningitis is primarily transmitted through respiratory droplets.

Which factor is NOT a necessary component for the transmission of an infection?

A sterile environment

Learn about the precautions required for clients with inhalation anthrax, which is not spread person to person. Test your knowledge on infection control measures and bioterrorism preparedness.

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