The following procedures have been ordered and implemented for a hospitalized patient. Which procedure carries the greatest risk for a healthcare-associated infection?

Placing an indwelling urinary catheter

Administering medications through an NG tube

Changing a sacral wound dressing

Replacing an ostomy appliance

Answer and Explanation

The Correct Answer is A

A. Placing an indwelling urinary catheter: Indwelling urinary catheters are a leading cause of catheter-associated urinary tract infections (CAUTIs), which are common healthcare-associated infections.

B. Administering medications through an NG tube: While NG tubes can introduce bacteria, they are not as high-risk as urinary catheters, which provide a direct route for infection.

C. Changing a sacral wound dressing: While wounds can become infected, proper wound care techniques minimize risk. Urinary catheters pose a greater risk due to prolonged exposure to bacteria.

D. Replacing an ostomy appliance: While maintaining hygiene is important, ostomy appliances are not a major source of healthcare-associated infections compared to urinary catheters.

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Correct Answer is A

Explanation

A. "I will avoid individuals who were recently vaccinated." Patients with neutropenia should avoid live vaccines and exposure to individuals who recently received live vaccines (e.g., MMR, varicella) due to the risk of infection.

B. "I can have visitors so long as they are healthy." This is an appropriate statement. Visitors who are completely healthy and follow proper infection control measures can visit a neutropenic patient.

C. "I can have fresh flowers brought in." Fresh flowers and plants should be avoided due to the risk of fungal or bacterial contamination in the soil and water, which could lead to infection in an immunocompromised patient.

D. "I should avoid soft cheese." Patients with neutropenia should avoid unpasteurized soft cheeses (e.g., Brie, feta, blue cheese) as they can contain Listeria and other bacteria that pose a risk of infection.

A. Elbows and behind the ears B. Coccyx and back of the skull C. Heels and trochanter D. Sacrum and ischium

Correct Answer is D

Explanation

A. Elbows and behind the ears: These areas are not primary pressure points in a seated position.

B. Coccyx and back of the skull: The coccyx is a pressure point when lying down, but this patient is sitting most of the time.

C. Heels and trochanter: Heels are at risk in supine patients, but this patient is primarily sitting.

D. Sacrum and ischium: The sacrum and ischium (sit bones) bear the most pressure in a seated position, making them highly vulnerable to skin breakdown.

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Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
General Status	Patient is avoiding looking at the ileostomy during care.
Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

The following procedures have been ordered and implemented for a hospitalized patient. Which procedure carries the greatest risk for a healthcare-associated infection?

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Naxlex Comprehensive Predictor Exams

A patient is on isolation for neutropenia. What statement made by the patient requires additional education from the nurse?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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