Question

2. A nurse is working in a community health center and is caring for a 5-year- child who was diagnosed as having a right ear infection. When collecting the nursing history, the mother states the child has had a fever to 1020F for 2 day has been irritable, and complained of feeling tired. The child has been drinking fluids well but not eating. The physician describes the tympanic membrane as erythematous, bulging with fluid levels, and dull. The nurse collects the followin vital signs: T. 102 R, P. 110, and R. 18. Fever is often considered to be associated with a bacterial infection. How does the body regulate temperature? Why is fever often associated with bacterial infections? Which of the clinical manifestations given are associated with a localized inflammatory response? What physiological factors are responsible for the development of these manifestations? If the physician ordered a complete blood count, what would you expect to see if there is a bacterial infection? Which of the above manifestations are related to a systemic response to the infection? 3. A nurse is working on a general medical-surgical unit. Her assigned client is a 77-year-old who has a stage II decubitus ulcer on her coccyx. The nurse is discussing strategies to prevent skin breakdown and the wound healing process with a client. What is the difference between first-intention and second-intention healing? What are some factors that can cause delayed wound healing? What are some age-related differences in the elderly with regards to wound healing?

Answer 1

Ans) Clostridium difficile infection (CDI) is due to a toxin-producing bacteria that causes a more severe form of antibiotic associated diarrhea. The disease ranges from mild diarrhea to severe colon inflammation that can even be fatal.

Diseases are caused by Clostridium difficile:

- Clostridium difficile colitis is an infection of the colon by the bacterium, Clostridium difficile ( C. difficile ).

- C. difficile causes colitis by producing toxins that damage the lining of the colon. The symptoms of C. difficile colitis are fever, diarrhea, and abdominal pain.

Ans) Infection sites of clostridium difficile colitis:

C. difficile may become established in the human colon; it is present in 2–5% of the adult population