A nurse is changing the dressing on a client’s wound. The nurse should recognize that which of the following findings is an indication of a wound infection?

Edema

Crusting over granulated tissue

Petechiae

Urticaria

Answer and Explanation

The Correct Answer is A

A.   Edema, which is swelling caused by fluid accumulation in the tissues. Edema is a common sign of inflammation and infection in wounds.
B.   Crusting over granulated tissue may indicate normal wound healing and is not necessarily a sign of infection.
C.   Petechiae are small red or purple spots on the skin caused by bleeding under the skin. They are usually associated with blood disorders or trauma, not infection.
D.   Urticaria (hives) is typically associated with allergic reactions and is not a typical sign of wound infection.

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Correct Answer is C

Explanation

Individuals with dementia often benefit from routine, but too many choices can be overwhelming.
B: While a written schedule can be helpful, a consistent routine is generally more beneficial for clients with dementia.
C: Providing a consistent daily routine helps decrease anxiety and confusion for clients with dementia.
D: Overhead loudspeakers may cause agitation and confusion in clients with dementia.

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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A nurse is changing the dressing on a client’s wound. The nurse should recognize that which of the following findings is an indication of a wound infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

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

Explanation

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