Which of the following actions can the nurse take to help prevent a health care-associated infection in an incontinent patient?

Avoiding use of a urinary catheter

Applying absorbent briefs

Restricting Fluids

Toileting patient every 4 hours

Answer and Explanation

The Correct Answer is B

A.   Avoiding use of a urinary catheter: While avoiding unnecessary urinary catheterization is important to prevent healthcare-associated urinary tract infections, this action may not be directly applicable to an incontinent patient who requires interventions to manage incontinence.
B.   Applying absorbent briefs: Using absorbent briefs helps contain urine and feces, reducing the risk of skin breakdown and contamination of the environment.
C.   Restricting Fluids: Restricting fluids may lead to dehydration and is not a recommended approach for preventing healthcare-associated infections in incontinent patients.
D.   Toileting patient every 4 hours: Toileting frequency should be individualized based on the patient's needs and not restricted to a specific time interval. Additionally, simply toileting the patient may not be sufficient to prevent healthcare-associated infections if proper hygiene practices are not followed.

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Correct Answer is B

Explanation

A. Macule: A macule is a flat, discolored area of skin that is smaller than 1 centimeter in diameter and does not contain fluid.
B. Vesicle: A vesicle is a raised, fluid-filled lesion smaller than 1 centimeter in diameter.
Examples include blisters caused by conditions such as herpes simplex virus or contact dermatitis.
C. Papule: A papule is a raised, solid lesion smaller than 1 centimeter in diameter that does not contain fluid. Examples include pimples or insect bites.
D. Wheal: A wheal is a raised, red area of skin that is often accompanied by itching. It is typically caused by an allergic reaction and may have irregular borders.

A. Hand hygiene B. Wearing personal protective equipment (PPE) C. Proper disposal of sharps D. A contaminated surface

Correct Answer is D

Explanation

A. Hand hygiene: Hand hygiene is a measure to break the chain of infection by reducing the number of microorganisms on hands. It is not a reservoir of infection.
B. Wearing personal protective equipment (PPE): PPE is used to protect healthcare workers and patients from exposure to infectious agents. It does not serve as a reservoir for infection.
C. Proper disposal of sharps: Proper disposal of sharps is important to prevent needlestick
injuries and transmission of bloodborne pathogens but does not represent a reservoir of infection.
D. A contaminated surface: A contaminated surface can serve as a reservoir for infectious agents.
Reservoirs are places where infectious agents can survive and multiply, posing a risk of transmission to susceptible individuals.

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Which of the following actions can the nurse take to help prevent a health care-associated infection in an incontinent patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term should the nurse use to document a raised, fluid-filled lesion smaller than 1 centimeter?

Correct Answer is B

Explanation

Which of the following is an example of a reservoir in the chain of infection?

Correct Answer is D

Explanation

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