Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

Dry crust on the incision line

Adventitious breath sounds

Increased urine output

Decreased level of consciousness

Oral temperature of 38.3° C (101° F)

Answer and Explanation

Correct Answer : B,D,E

A.   Dry crust on the incision line may indicate normal healing, not necessarily infection.
B.   Adventitious breath sounds can be indicative of pneumonia, a potential infection.
C.   Increased urine output is not a sign of infection but may suggest other issues.
D.   Decreased level of consciousness suggests a systemic issue, which could include infection affecting the central nervous system.
E.   Oral temperature of 38.3° C (101° F) indicates fever which is a common sign of infection.

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Correct Answer is ["A","C","E"]

Explanation

A. Turning off fans and heaters can help prevent the circulation of potentially contaminated air.
B. Evacuation may be necessary in extreme cases but should be done following established protocols and considering the safety of residents.
C. Closing doors and windows helps minimize the entry of external air, reducing exposure to potential contaminants.
D. Keeping fireplaces burning may increase the risk of indoor air pollution and is not a recommended action during a chemical disaster.
E. Placing wet towels under doors can help create a barrier to limit the entry of external air and contaminants.

A. A client who has pneumonia after being on a ventilator B. A client who has a bladder infection and has an indwelling urinary catheter C. A client who has a surgical site infection D. A client who has influenza acquired from a coworker E. A client who has an infection at their central line insertion site

Correct Answer is ["A","B","C","E"]

Explanation

A. This an example of a health care-associated infections (HAIs), which are infections that patients acquire during the course of receiving health care treatment for other conditions. The patient acquired the pneumonia after being in a ventilator.
B. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
C. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
D. This is not an example of a health care-associated infection (HAI), because it is not acquired during the course of receiving health care treatment. This is an example of a community-acquired infection, which is an infection that a person gets from contact with people or sources outside of a health care setting.
E. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.

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Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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