The nurse identifies the hospitalized client in which situation as being at highest risk for the development of a healthcare associated infection (HAI)?

Receiving immune suppressant therapy for cancer.

Has hyperemia at the site of an acute local infection.

Lost ten pounds adhering to a low carbohydrate diet.

Recently received a series of adult immunizations.

Answer and Explanation

The Correct Answer is A

A.   Clients receiving immune suppressant therapy, such as those undergoing treatment for cancer, are at a significantly increased risk for healthcare-associated infections. Immune suppressants weaken the body's ability to mount an effective immune response, making individuals more susceptible to infections.
B.   Hyperemia, or increased blood flow to a particular area, can be a sign of an acute local infection. While it indicates the presence of infection, the hyperemia itself does not increase the risk of developing a new or additional healthcare-associated infection.
C.   Weight loss, especially if associated with dietary changes, may affect overall health and nutritional status, potentially impairing wound healing and immune function. However, it is not as directly linked to an increased risk of HAIs as immune suppression or invasive procedures.
D.   Receiving vaccinations generally aims to enhance immunity and protect against specific infections. Immunizations can help prevent infections but do not increase the risk of healthcare-associated infections. This action is preventive rather than a risk factor for HAIs.

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Correct Answer is C

Explanation

A. While notifying the healthcare provider may be necessary in some cases, it's not the most immediate or appropriate action in this situation. The nurse can address the client's concerns directly by providing a bedside commode.
B. While having a UAP available for assistance can be helpful, providing a bedside commode is a more practical and efficient solution.
C. A bedside commode can help prevent accidents and spills, which can be embarrassing and contribute to a negative experience. Offering a bedside commode demonstrates respect for the client's concerns and preferences, which can help to build trust and improve the overall care experience.
D. A bedpan may not be as comfortable or convenient for the client as a bedside commode, especially if they have mobility limitations.

A. Determine which medications may be given in generic form rather than brand name only. B. Provide client teaching regarding the desired effects of the client's admission prescriptions. C. Reconcile prescribed medication dosages with the published recommended dosage ranges. D. Compare admission prescriptions with the list of medications previously taken by the client.

Correct Answer is D

Explanation

A. While determining if medications can be given in generic form can be a cost-effective measure and might be beneficial for the client, it is not the most urgent action to take during the admission process. The primary focus should be on ensuring that the medications are correct, safe, and appropriate for the client’s current condition and needs.
B. Client education about the desired effects of medications is important for ensuring the client understands their treatment and can identify any side effects or issues. However, this is typically done after ensuring that the medication list is accurate and reconciled. Teaching should be part of a comprehensive plan once the medication list and dosages are confirmed.
C. Reconciliation of prescribed medication dosages with recommended dosage ranges is important for ensuring the client receives appropriate and safe dosages. However, this action is part of a broader process of medication reconciliation, which involves verifying and comparing the current list of medications against previous records and established guidelines.
D. Comparing admission prescriptions with the list of medications previously taken by the client is a crucial first step in the medication reconciliation process. This action ensures that there is no duplication, omission, or incorrect change in the medication regimen. It helps prevent potential medication errors and ensures continuity of care.

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The nurse identifies the hospitalized client in which situation as being at highest risk for the development of a healthcare associated infection (HAI)?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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