A nurse is assigned to the following four clients with infections. The nurse realizes that which client has acquired a hospital-acquired infection?

urinary tract infection in a client who is sedentary

vaginal canal infection in a postmenopausal woman

respiratory infection contracted from a visitor

wound infection caused by unwashed hands of a caregiver

Answer and Explanation

The Correct Answer is D

A.   A urinary tract infection in a sedentary client does not inherently suggest a hospital-acquired infection.
B.   A vaginal canal infection in a postmenopausal woman does not inherently suggest a hospital-acquired infection.
C.   A respiratory infection contracted from a visitor does not inherently suggest a hospital-acquired infection.
D.   A wound infection caused by unwashed hands of a caregiver suggests a hospital- acquired infection due to the potential for contamination within the healthcare setting.

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Correct Answer is D

Explanation

A. Normal joint wear and tear typically do not result in bony enlargements, deviation of fingers, or hard, painless joints.
B. Osteomyelitis is a bone infection and would present with symptoms such as fever, localized pain, swelling, and redness over the affected bone, rather than bony enlargements of the joints.
C. Uric acid deposits are associated with conditions like gout and would typically manifest as acute attacks of severe pain, redness, and swelling in the affected joint, rather than the chronic, painless joint deformities seen in the scenario described.
D. Rheumatoid Arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of the synovium, leading to joint deformities, bony enlargements, and deviation of fingers. Joints affected by RA are typically hard, painless, and may exhibit ulnar deviation.

A. Allow the client to ambulate in the hall B. Apply a N95 mask prior to entering the room C. Stand 6 feet away from the client D. Provide a positive air pressure room

Correct Answer is B

Explanation

A. Allowing the client to ambulate in the hall would not be an appropriate precaution for airborne precautions.

B. This is an appropriate precaution to prevent the nurse from inhaling airborne pathogens.
C. While maintaining distance may help reduce the risk of transmission, wearing appropriate personal protective equipment is essential.
D. Providing a positive air pressure room is not typically a nursing precaution but rather a facility consideration for isolation rooms.

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A nurse is assigned to the following four clients with infections. The nurse realizes that which client has acquired a hospital-acquired infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the hands of a client and notes bony enlargements of the client's joints, as pictured here. The joints are hard, painless, and some of the fingers are deviated from the midline. The nurse suspects these findings are a result of which of the following?

Correct Answer is D

Explanation

A nurse is planning care for a client who has been placed on airborne precautions. Which of the following in an appropriate nursing precaution?

Correct Answer is B

Explanation

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

A nurse is providing health teaching to a client about ways a communicable disease is transmitted by contact. Select all that apply.

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

A client has been placed on droplet precautions and the nurse is providing education to the spouse about specific personal protective equipment (PPE) that will need to be worn. Which of the following statements requires the need for further teaching?

A client with leukopenia is being discharged home. Which of the following should the nurse include in the teaching plan for this client?

A nurse who uses meticulous sterile technique when performing wound care procedures is attempting to control which link in the chain of infection?

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