The nurse is aware that the patient most at risk for a health care-associated infection (HAI) would be the:
45-year-old in traction for a fractured femur.
56-year-old with pneumonia who is receiving oxygen by mask.
70-year-old with congestive heart failure attached to a monitor.
65-year-old with a Foley catheter.
The Correct Answer is D
Choice A rationale
A 45-year-old in traction for a fractured femur is at risk for infection due to immobility and potential surgical wounds, but not as high as someone with a Foley catheter.
Choice B rationale
A 56-year-old with pneumonia receiving oxygen is at risk for respiratory infections, but the presence of a Foley catheter significantly increases the risk of healthcare-associated infections.
Choice C rationale
A 70-year-old with congestive heart failure attached to a monitor has a risk of infection due to potential breaks in skin integrity, but not as high as someone with a Foley catheter.
Choice D rationale
A 65-year-old with a Foley catheter is at the highest risk for health care-associated infections because the catheter provides a direct pathway for pathogens into the urinary tract, increasing infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Asking the health care provider if they contaminated their glove and the sterile field is not the most effective response. The provider may not be aware of the contamination, and asking this question does not immediately address the contamination issue. Ensuring the sterile field remains uncontaminated is crucial in preventing infections.
Choice B rationale
Pointing out the possible break in surgical asepsis and providing another set of sterile gloves and a fresh sterile field is the best action. This ensures that the sterile environment is maintained, reducing the risk of infection and promoting patient safety.
Choice C rationale
Not saying anything because it is near the end of the procedure is unsafe. Even if the procedure is almost complete, any contamination can increase the risk of infection. It is essential to address the contamination immediately to ensure patient safety.
Choice D rationale
Reporting the health care provider for violating surgical asepsis and endangering the patient is not an immediate solution. While it is important to report such incidents for future prevention, the priority should be to address the contamination promptly to maintain the sterile field and protect the patient.
Correct Answer is D
Explanation
Choice A rationale
Washing hands when visibly soiled removes dirt, debris, and pathogens, effectively reducing the risk of infection.
Choice B rationale
Washing hands after using the restroom is a critical practice to prevent the spread of gastrointestinal pathogens.
Choice C rationale
Washing hands before meal preparation prevents the transmission of pathogens to food, protecting against foodborne illnesses.
Choice D rationale
Hands that appear clean may still harbor pathogens. Effective hand hygiene includes washing hands for at least 20 seconds with soap and water to remove invisible pathogens. .
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