solved

solved. Question
Answered
Asked by CoachButterfly3895

Scenario:

J.J., a 79-year-old woman with a history of COPD and renal insufficiency, was hospitalized for pneumonia for over a month. While hospitalized, she received intravenous clindamycin and steroids. She was discharged a week ago on oral antibiotics and steroids. This morning, she developed severe, watery diarrhea that has a strong odor and abdominal pain. This evening, her daughter took her to the emergency department because J.J. had become extremely weak and drowsy, with some confusion. Her vital signs are BP 100/68, P 118, R 24, T 100.5 F (38.1 C). Her daughter stated, “All of a sudden she had terrible diarrhea, about 8 or 9 times, and she said her belly hurt. She hasn’t eaten a thing all day, and I could not get her to drink anything.” An IV of 0.9% normal at 125 mL/hr was started.

 

Some of the orders from the physician include:

·     Obtain a stool specimen for culture, O&P, and C.Diff PCR assay

·     CBC

·     Basic Metabolic Panel (BMP)

 

1.    Describe the correct way to obtain a stool specimen for the tests (those that require a stool sample).

 

 

2.    What problem is J.J. most at risk for because of diarrhea?

 

 

3.    Explain the purpose of a CBC and BMP test, the normal values of the tests, and what color vacutainer(s) is used to collect the blood samples.

 

 

The Clostridium difficile PCR results are positive. The hospital visits J.J. and tells her daughter that J.J. has an antibiotic-associated C. difficile infection (CDI).

 

4.    Explain CDI and the significance of the positive C. diff PCR result.

 

5.    What likely led J.J. to develop CDI?

 

 

6.    How is CDI spread to others?

 

 

7.    Describe the precautions needed for the suspected diagnosis of CDI to prevent the spread of the disease.

SCIENCE
HEALTH SCIENCE
NURSING

solved