Real Life RN Medical-Surgical 2.0: Clostridium Difficile Case Study

Question:

 When preparing to enter Irenes room to admit her, which of the following actions should Craig perform first?

Scenario: The nurse orients the client to the room and ensures environmental safety measures are in place.

Question:

Identify at least four environmental safety measures that were implemented by the nurse when seeing Irene for the first time.

•  bed rails are up,
•  bed is down and locked,
•  two identifications,
• call light in reach

Rationale

Use two identifiers to ensure correct identification of client. Elevate the head of bed 30 degrees to provide for comfort and promote lung expansion. Place the upper rails in a raised position to prevent the client from rolling out of bed, and assist the client with positioning. Bed is in low position and locked. Client is wearing an ID band. Call light was within reach of the client. 

 Scenario: Craig reviews Irene's laboratory results to determine the next plan of action