A charge nurse is teaching a newly licensed nurse about health care-associated infections (HAIs). Which of the following should the nurse include in the teaching as examples of HAIS?
A client who has pneumonia after being on a ventilator
A client who has a bladder infection and has an indwelling urinary catheter
A client who has a surgical site infection
A client who has influenza acquired from a coworker
A client who has an infection at their central-line insertion site
Correct Answer : A,B,C,E
A. Ventilator-associated pneumonia (VAP) is a common HAI that occurs in patients who have been mechanically ventilated for an extended period. The presence of a ventilator increases the risk of introducing pathogens into the lower respiratory tract, leading to pneumonia.
B. Catheter-associated urinary tract infection (CAUTI) is an HAI that occurs due to the use of urinary catheters. Indwelling urinary catheters can introduce bacteria into the urinary tract, increasing the risk of infection.
C. Surgical site infections (SSIs) are infections that occur after surgery in the part of the body where the surgery took place. They are a significant cause of morbidity and mortality and are considered HAIs when they occur in healthcare settings.
D. Influenza acquired from a coworker is not typically considered a healthcare-associated infection. It is usually acquired in community settings rather than healthcare facilities.
E. Central line-associated bloodstream infections (CLABSIs) occur when bacteria or other pathogens enter the bloodstream through a central venous catheter. These infections are considered HAIs because they are associated with the presence of a central venous catheter used for medical treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diazepam is a benzodiazepine commonly used in the management of alcohol withdrawal syndrome. Benzodiazepines are effective in reducing symptoms such as anxiety, tremors, agitation, and preventing seizures that can occur during alcohol withdrawal. Diazepam is preferred due to its rapid onset and long duration of action, which helps stabilize the client during withdrawal.
B. Buprenorphine is a partial opioid agonist typically used in the treatment of opioid dependence, not alcohol withdrawal. It is not recommended as a first-line medication for alcohol withdrawal management.
C. Disulfiram is used as an aversive therapy in the treatment of alcohol use disorder. It works by causing unpleasant symptoms (such as nausea, vomiting, palpitations) if the client consumes alcohol. It is not indicated for the treatment of alcohol withdrawal symptoms.
D. Methadone is a synthetic opioid agonist primarily used for the treatment of opioid dependence and chronic pain management. It has no role in the treatment of alcohol withdrawal and is not appropriate for managing symptoms associated with alcohol withdrawal.
Correct Answer is B
Explanation
A. Episodes of confusion could indicate various issues, such as metabolic disturbances, disease progression affecting the central nervous system, or medication side effects. However, confusion alone would not typically lead to an increase in morphine dosage. Therefore, this is not a likely explanation for why the client needed more morphine for pain relief.
B. Tolerance occurs when the body adapts to the effects of a medication over time, requiring higher doses to achieve the same therapeutic effect. This is a common phenomenon with opioids like morphine when used long-term for pain management. If the client's pain relief diminished despite increasing the dose, tolerance to morphine could indeed be the reason why higher doses were needed.
C. Addiction is a psychological and physiological dependence on a substance characterized by compulsive drug-seeking behavior and use despite harmful consequences. Addiction is not typically the reason why a client with terminal cancer would require an increased dose of morphine for pain relief. In this context, the focus is on managing pain rather than addiction.
D. If the client has not been adhering to the prescribed dosing schedule or has missed doses, it could result in inadequate pain control. This might necessitate an increase in morphine dosage to achieve adequate pain relief. However, this scenario would require further assessment to confirm.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.