Solution Manual For Foundations and Adult Health Nursing, 8th Edition
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Cooper and Gosnell: Foundations and Adult Health Nursing, 8th Edition
Chapter 07: Asepsis and Infection Control
Answer Keys - Critical Thinking Questions
Nursing Care Plan 7-1: The Patient with an Infection
1. Mr. R. has a peripheral IV infusing and reports discomfort at the site of insertion. What
should the nurse do?
The nurse should immediately assess the IV site for obvious dislodgment of the IV catheter,
edema, erythema, or increased warmth or coolness. Coolness may indicate IV infiltration; the
other signs may indicate irritation (possibly from a previously administered medication or as an
adverse effect of it) or infection.
In general, if an IV site is obviously infiltrated, nursing judgment is sufficient to determine
Chapter 07: Asepsis and Infection Control
Answer Keys - Critical Thinking Questions
Nursing Care Plan 7-1: The Patient with an Infection
1. Mr. R. has a peripheral IV infusing and reports discomfort at the site of insertion. What
should the nurse do?
The nurse should immediately assess the IV site for obvious dislodgment of the IV catheter,
edema, erythema, or increased warmth or coolness. Coolness may indicate IV infiltration; the
other signs may indicate irritation (possibly from a previously administered medication or as an
adverse effect of it) or infection.
In general, if an IV site is obviously infiltrated, nursing judgment is sufficient to determine
Answer Keys - Critical Thinking Questions 7-2
deactivate most pathogens before they can multiply into greater numbers. If a patient is
immunocompromised, even weaker or opportunistic pathogens (herpes varicella virus or CMV)
can become established and cause infection or disease. Often this is in a more severe form
because the patient also cannot initiate an effective immune response to combat it.
Mr. R. should be placed on neutropenic precautions (formerly known as reverse isolation or
Protective Isolation). The intent of neutropenic precautions is to minimize threats to the patient’s
compromised immune status; for instance, protecting the patient from his or her environment.
Most facilities have specific protocols for implementing neutropenic precautions. These
generally involve a private room with the door to remain closed; limiting visitors; no obviously
infected visitors; no fresh fruit, flowers, or raw vegetables; and no open containers (juices, water,
etc.) which can serve as reservoirs for environmental pathogens.
deactivate most pathogens before they can multiply into greater numbers. If a patient is
immunocompromised, even weaker or opportunistic pathogens (herpes varicella virus or CMV)
can become established and cause infection or disease. Often this is in a more severe form
because the patient also cannot initiate an effective immune response to combat it.
Mr. R. should be placed on neutropenic precautions (formerly known as reverse isolation or
Protective Isolation). The intent of neutropenic precautions is to minimize threats to the patient’s
compromised immune status; for instance, protecting the patient from his or her environment.
Most facilities have specific protocols for implementing neutropenic precautions. These
generally involve a private room with the door to remain closed; limiting visitors; no obviously
infected visitors; no fresh fruit, flowers, or raw vegetables; and no open containers (juices, water,
etc.) which can serve as reservoirs for environmental pathogens.
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