A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include 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

Answer and Explanation

Correct Answer : A,B,C,E

A.   This an example of a health care-associated infections (HAIs), which are infections that patients acquire during the course of receiving health care treatment for other conditions. The patient acquired the pneumonia after being in a ventilator.
B.   This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
C.   This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
D.   This is not an example of a health care-associated infection (HAI), because it is not acquired during the course of receiving health care treatment. This is an example of a community-acquired infection, which is an infection that a person gets from contact with people or sources outside of a health care setting.
E.   This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.

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Correct Answer is D

Explanation

A. Avoids the child's question and deflects to a future topic.
B. Defers the conversation and may not address the child's immediate concerns.
C. Minimizes the child's feelings and concerns about the future.
D. Encourages open communication and allows the child to express feelings and fears.

A. Use a new sponge each time the surgical site is scrubbed. B. Cleanse the surgical site with a povidone-iodine solution. C. Shave the client’s hair near the surgical site. D. Scrub the surgical site starting at the outer edge and moving inwards

Correct Answer is A

Explanation

A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

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A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

Nursing Test Bank

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