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.
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.
Correct Answer is B
Explanation
A. A 49-year-old who works in food services: While individuals working in food services may be at risk of exposure to influenza, they are not in the highest priority group. Age and underlying health conditions are typically prioritized over occupational risk factors.
B. An 88-year-old who lives in an apartment for senior citizens: Older adults, especially those living in congregate settings like senior citizen apartments, are at higher risk of complications from influenza. Therefore, the 88-year-old should have the highest priority to receive the vaccine.
C. A 26-year-old with three young children: While having young children may increase the risk of exposure to influenza, younger adults without underlying health conditions are generally at lower risk of severe complications compared to older adults.
D. A 15-year-old who plays ice hockey: While participation in activities like ice hockey may increase the risk of exposure to respiratory infections, age and health status are more significant factors in determining priority for influenza vaccination.
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