Question 1

Which nursing actions are appropriate when collecting a stool sample to determine if a patient is experiencing a Clostridium difficile infection? Select all that apply.

Accepted Answer

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Question 2

The nurse monitors for ototoxicity in patients receiving which antibiotics? Select all that apply.

Accepted Answer

Ototoxicity is a potential side effect of certain antibiotics, particularly those in the aminoglycoside class and vancomycin. Amikacin (A) and Plazomicin (D) are aminoglycosides known for their risk of causing ototoxicity, which can manifest as hearing loss or balance issues. Vancomycin (E) is another antibiotic that has been associated with ototoxicity, especially when blood levels of the drug are high or in combination with other ototoxic drugs. Clindamycin (B) and Metronidazole (C) are not commonly associated with ototoxicity.

Question 3

The nurse correlates which risk factors for development of vancomycin-resistant Enterococci (VRE)? Select all that apply.

Accepted Answer

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Question 4

Which actions does the nurse include in the plan of care for a patient who is diagnosed with a multidrug-resistant (MDR) pneumonia? Select all that apply.

Accepted Answer

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Question 5

Which is the priority nursing action to decrease the risk of spreading infection among patients diagnosed with multidrug-resistant organism infection?

Accepted Answer

Performing hand hygiene before and after care is the most effective way to prevent the spread of infections, including those caused by multidrug-resistant organisms.

Question 6

In planning care for a patient with carbapenem-resistant Enterobacteriaceae infection, the nurse recognizes the complexity of management for which reasons? Select all that apply.

Accepted Answer

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Question 7

The nursing diagnosis "Fluid Volume Deficit related to diarrhea and watery stools secondary to release of toxins in the gastrointestinal tract" is most relevant to the patient with which multidrug-resistant organism?

Accepted Answer

Clostridium difficile (C diff) is known for causing significant diarrhea and watery stools due to toxin release in the gastrointestinal tract, leading to fluid volume deficit.

Question 8

Which clinical manifestations should the nurse anticipate when assessing any patient diagnosed with a multidrug resistant (MDR) infection? Select all that apply.

Accepted Answer

MDR infections often lead to systemic inflammatory responses, which can manifest as fever (A), tachypnea (B), and tachycardia (C) as the body attempts to fight off the infection. Hypertension and increased urine output are not typically associated with MDR infections.

Question 9

Which antibiotic prescription does the nurse correlate as effective in the treatment of a patient diagnosed with multidrug resistant, vancomycin-resistant Enterococci (VRE) infection?

Accepted Answer

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Question 10

Which of the following prescriptions for the patient diagnosed with Clostridium difficile (C diff) requires an intervention by the nurse?

Accepted Answer

Antiperistaltic medications are contraindicated in patients with Clostridium difficile infections because they can exacerbate the condition by slowing down the removal of toxins from the intestines, potentially leading to more severe complications such as toxic megacolon.

Question 11

Which assessment data support the nursing diagnosis of Deficient Fluid Volume for a patient diagnosed with Clostridium difficile? Select all that apply.

Accepted Answer

Decreased skin turgor and dry mucous membranes are signs of dehydration. Increased serum creatinine can indicate kidney impairment due to fluid loss.

Question 12

Which antibiotic prescription should the nurse anticipate when providing care to a patient who is diagnosed with multidrug-resistant (MDR) Acinetobacter infection?

Accepted Answer

Imipenem/cilastatin is often used to treat infections caused by multidrug-resistant bacteria, including Acinetobacter species, because of its broad spectrum of activity and ability to overcome many bacterial resistance mechanisms.

Quiz 21: Coordinating Care for Patients With Multidrug-Resistant Organism Infectious Disorders