The nursing intervention most likely to decrease the chance of health care-associated infections (HAIs) for a 76-year-old patient following bowel resection surgery would be to have the patient:
Limit ambulation.
Turn, cough, and deep breathe every 2 hours.
Keep the room door closed.
Get blood pressure, pulse, and respirations assessed every 4 hours.
The Correct Answer is B
Choice A rationale
Limiting ambulation can increase the risk of complications such as deep vein thrombosis and does not necessarily reduce HAIs.
Choice B rationale
Encouraging the patient to turn, cough, and deep breathe every 2 hours helps prevent respiratory complications, improves lung function, and reduces the risk of pneumonia, a common HAI.
Choice C rationale
Keeping the room door closed does not prevent HAIs and might isolate the patient, reducing mobility and social interaction.
Choice D rationale
Regular monitoring of vital signs is essential but does not directly reduce the risk of HAIs. Other measures, like proper hygiene and mobilization, are more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Lowering a used mask below the chin to reuse it later is not safe as it can lead to contamination of the mask and facial area, increasing the risk of infection.
Choice B rationale
Removing the mask first before any other personal protective equipment (PPE) can lead to contamination and is not the recommended sequence for doffing PPE.
Choice C rationale
Discarding the mask only if it is wet and storing it for reuse is not safe. Masks should not be reused, as they can harbor infectious agents and increase the risk of contamination.
Choice D rationale
Untying the bottom ties first, then the top, and disposing of the mask without touching it ensures that the person removing the mask avoids contamination. This method adheres to proper doffing procedures and minimizes the risk of infection.
Correct Answer is A
Explanation
Choice A rationale
A 10% solution of chlorine bleach is an effective disinfectant for contaminated areas in the home. Chlorine bleach has broad-spectrum antimicrobial properties, making it suitable for killing various pathogens, including bacteria and viruses.
Choice B rationale
Soaking in a solution of povidone iodine for 30 minutes and rinsing with hot water is not practical for home disinfection. While povidone iodine is effective as a disinfectant, it is typically used for medical purposes and not for cleaning household surfaces.
Choice C rationale
A 12% solution of alcohol is not as effective as a 10% solution of chlorine bleach for disinfecting contaminated areas in the home. Alcohol concentrations above 70% are generally more effective for disinfection purposes.
Choice D rationale
Covering the area with boiling water and letting it air dry is not a reliable method for disinfecting contaminated areas. Boiling water may not effectively kill all pathogens, and this method lacks the broad-spectrum efficacy of chemical disinfectants.
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