Which of the following infections would the nurse recognize as being a health care-associated infection?

A person with diabetes who requires hospitalization for cellulitis.

Pneumonia in a hospitalized patient.

Chronic urinary tract infection for a homebound patient.

A sexually transmitted infection in a healthy young adult.

Answer and Explanation

The Correct Answer is B

A.   A person with diabetes who requires hospitalization for cellulitis: Cellulitis may not necessarily be a healthcare-associated infection unless it developed as a complication during the hospitalization.
B.   Pneumonia in a hospitalized patient: Pneumonia acquired during a hospital stay is considered a healthcare-associated infection (HAI) because it develops after 48 hours of hospital admission.
C.   Chronic urinary tract infection for a homebound patient: A chronic urinary tract infection in a homebound patient is not automatically considered a healthcare-associated infection unless it can be directly linked to healthcare interventions or devices.
D.   A sexually transmitted infection in a healthy young adult: Sexually transmitted infections are not healthcare-associated infections as they are typically acquired through sexual contact rather than healthcare settings.

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Correct Answer is B

Explanation

A. Amoxicillin: Amoxicillin is a penicillin-type antibiotic effective against susceptible bacteria, but it is not effective against MRSA because MRSA is resistant to penicillin and related antibiotics.
B. Vancomycin hydrochloride: Vancomycin is a glycopeptide antibiotic commonly used to treat MRSA infections due to its effectiveness against MRSA strains. It is considered one of the first-line antibiotics for treating severe MRSA infections.
C. Fluconazole: Fluconazole is an antifungal medication used to treat fungal infections such as candidiasis. It is not effective against bacterial infections like MRSA.
D. Abreva: Abreva is an over-the-counter medication used to treat cold sores caused by the herpes simplex virus. It is not effective against bacterial infections like MRSA.

A. Antibiotic dosages below the minimum concentration are prescribed. B. Broad-spectrum antibiotics are used whenever possible. C. Antibiotics are prescribed only when a viral infection is present. D. Infections become resistant to high doses of antibiotics.

Correct Answer is D

Explanation

A. Antibiotic dosages below the minimum concentration are prescribed: This statement is inaccurate. MRSA infections typically require higher than normal doses of antibiotics due to their resistance. Prescribing below the minimum concentration would likely be ineffective.
B. Broad-spectrum antibiotics are used whenever possible: While broad-spectrum antibiotics may cover a wide range of bacteria, they are not always the best choice for treating MRSA.
Targeted antibiotics effective against MRSA are preferred to minimize the risk of further antibiotic resistance.
C. Antibiotics are prescribed only when a viral infection is present: MRSA is a bacterial infection, not viral. Antibiotics are indicated for bacterial infections like MRSA but not for viral infections.
D. Infections become resistant to high doses of antibiotics: This statement is accurate. MRSA is resistant to many common antibiotics, and overuse or inappropriate use of antibiotics can contribute to the development of antibiotic-resistant strains. High doses of antibiotics may not be effective against MRSA, as the bacteria have developed mechanisms to resist their action.

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Which of the following infections would the nurse recognize as being a health care-associated infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking care of a patient diagnosed with Methicillin-Resistant Staphylococcus Aureus (MRSA). The nurse knows that this disease is difficult to treat and has a high mortality rate. Which medication would the nurse expect to be ordered to treat this infection?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client about treatment of Methicillin-Resistant Staphylococcus Aureus (MRSA). Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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