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 C
Explanation
A. An N-95 respirator is designed to filter out airborne particles and is used primarily for protection against airborne diseases such as tuberculosis or certain respiratory infections like COVID-19. It is not necessary for contact precautions unless there is also a risk of airborne transmission.
B. Goggles protect the eyes from splashes, sprays, or droplets of infectious material. They are not typically required for routine contact precautions unless there is a risk of splashes or sprays to the eyes.
C. Gloves are essential for contact precautions. They protect the nurse's hands from direct contact with potentially infectious material on the client's bed linen or any contaminated surfaces. Gloves should be worn when handling soiled linen and removed and discarded appropriately after use.
D. A face shield provides full-face protection against splashes, sprays, or splatters of infectious material. It is particularly useful when there is a risk of exposure to bodily fluids or during procedures that may generate splashes. While not always required for routine contact precautions, it may be used depending on the specific situation, such as when cleaning surfaces heavily contaminated with body fluids.
Correct Answer is C
Explanation
A. The flexible metal piece in the medical mask is designed to be shaped around the nose to provide a better fit and seal. Placing it at the bottom is not appropriate.
B. It is important not to touch the front of the mask while wearing it, especially with potentially contaminated gloves or hands. Touching the front of the mask can transfer pathogens from the mask to the hands or vice versa, compromising infection control measures.
C. Medical masks are designed for single use and should be discarded after each use to prevent contamination and ensure effectiveness.
D. You should remove your gloves first before removing your mask to avoid contaminating your face with any pathogens that might be on the gloves.
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