Level: Clinical
Difficulty: Medium
Subtopic: Specimen collection and culture sensitivity
NCLEX: A 44-year-old client in airborne isolation is being evaluated for nursing care related to specimen collection and…
Microbiology Safety and Infection Prevention and Control
Case Study
A 44-year-old client in airborne isolation is being evaluated for nursing care related to specimen collection and culture sensitivity. Assessment data include watery diarrhea 8 times today after antibiotic therapy. Which finding requires the nurse to intervene immediately?
Question
A. The new finding that watery diarrhea 8 times today after antibiotic therapy.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: A. The new finding that watery diarrhea 8 times today after antibiotic therapy.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.