A nurse in the emergency department is caring for a client.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing
Exhibits
due to
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

The client reports symptoms of vomiting and diarrhea for the past 12 hours. These symptoms are classic indicators of fluid loss from the gastrointestinal tract. Vomiting and diarrhea lead to significant fluid depletion, resulting in a fluid volume deficit. This deficit can lead to dehydration, electrolyte imbalances, and potentially hypotension (low blood pressure), which are consistent with the client's clinical presentation of tachycardia (increased heart rate) and hypotension (blood pressure 102/58 mmHg). The plan for IV fluid replacement upon admission reflects the need to address and correct this fluid deficit.

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Correct Answer is A

Explanation

A. Indirect contact transmission occurs when a person touches a contaminated object or surface and then transfers the infectious agent to themselves by touching their own mucous membranes (such as mouth, nose, eyes) or broken skin. In this scenario, the client acquired the Staphylococcus aureus infection by touching a contaminated towel, which is an example of indirect contact transmission.
B. Airborne transmission involves the spread of infectious agents through droplet nuclei (small particles) that remain suspended in the air for long periods or are disseminated over long distances. Staphylococcus aureus infections are typically not transmitted through airborne routes unless they are associated with respiratory droplets, which is less common compared to other pathogens.
C. Droplet transmission occurs when respiratory droplets containing infectious pathogens (such as viruses or bacteria) are generated through activities like coughing, sneezing, or talking, and then deposited onto mucous membranes of nearby individuals. Staphylococcus aureus infections are not typically transmitted through droplet routes unless they are associated with respiratory colonization or infections.
D. Vector transmission involves the transfer of infectious agents from one host to another by a vector, such as mosquitoes, ticks, or other animals. Staphylococcus aureus infections are not transmitted through vectors; they primarily spread through direct or indirect contact with contaminated surfaces, equipment, or healthcare personnel.

A. Compliance of hand washing among staff members is less than 50%. B. Hand hygiene is the most important step to prevent spreading of infection. C. Alcohol-based hand gel is an acceptable method of hand hygiene. D. One out of 40 clients obtain a healthcare-associated infection HAI. E. Clients should be instructed about hand hygiene.

Correct Answer is ["A","B","C","D","E"]

Explanation

A. This information highlights the importance of improving hand hygiene practices among healthcare workers. Low compliance rates indicate a need for education, reminders, and possibly changes in the healthcare facility's policies and procedures to encourage better adherence to hand hygiene protocols.
B. Hand hygiene is indeed one of the most critical measures to prevent the transmission of infections in healthcare settings. Proper hand hygiene (either washing with soap and water or using alcohol-based hand rubs) helps reduce the spread of pathogens from person to person, from surfaces to patients, and vice versa.
C. Alcohol-based hand sanitizers (gels, foams, or rubs) are effective and convenient for hand hygiene in healthcare settings. They are recommended by healthcare authorities like the CDC (Centers for Disease Control and Prevention) and WHO (World Health Organization) as they quickly reduce the number of microbes on hands when soap and water are not readily available or practical.
D. This statistic underscores the risk of healthcare-associated infections (HAIs) and the importance of preventive measures such as hand hygiene. Healthcare workers play a crucial role in reducing HAIs through proper hand hygiene practices.
E. Educating clients about hand hygiene is essential for infection prevention, especially in settings where clients can actively participate in their own care (e.g., hospitals, outpatient clinics, long-term care facilities). Clients should be encouraged to practice hand hygiene, particularly after using the restroom, before eating, and after touching surfaces that may harbor pathogens.

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A nurse in the emergency department is caring for a client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing Exhibits due to dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

Correct Answer is A

Explanation

A charge nurse is teaching a group of staff members about hand hygiene. Which of the following information should the nurse include in the teaching?

Correct Answer is ["A","B","C","D","E"]

Explanation

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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 nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

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A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

A nurse in the emergency department is caring for a client.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing
Exhibits
due to
dropdown