A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

Use gowns, gloves, and masks for any family contact with him.

Maintain medical asepsis and proper handling of the contaminated dressings.

Wash hands thoroughly before the dressing change.

Be the only person to perform the dressing changes, thus eliminating the risk of infection to other family members.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Using gowns, gloves, and masks for any family contact with the patient is more stringent than necessary for home care. It would not be practical or necessary for family members and may create unnecessary barriers.

Choice B rationale

Maintaining medical asepsis and proper handling of contaminated dressings is essential to prevent the spread of infection. This involves proper hand hygiene, using clean dressings, and disposing of contaminated materials correctly.

Choice C rationale

Washing hands thoroughly before the dressing change is crucial but not enough on its own to prevent the spread of infection. It must be combined with other aseptic techniques.

Choice D rationale

Having the patient be the only person to perform dressing changes does not eliminate the risk of infection to family members, as they may still come into contact with contaminated materials.

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Correct Answer is B

Explanation

Choice A rationale

Limiting ambulation can increase the risk of complications such as deep vein thrombosis and does not necessarily reduce HAIs.

Choice B rationale

Encouraging the patient to turn, cough, and deep breathe every 2 hours helps prevent respiratory complications, improves lung function, and reduces the risk of pneumonia, a common HAI.

Choice C rationale

Keeping the room door closed does not prevent HAIs and might isolate the patient, reducing mobility and social interaction.

Choice D rationale

Regular monitoring of vital signs is essential but does not directly reduce the risk of HAIs. Other measures, like proper hygiene and mobilization, are more effective.

A. Stasis ulcers predispose the older adult to pneumonia and urinary infections. B. Patient's defenses are already engaged with the initial infection. C. Ulcer will make this patient bedfast. D. Patient already has a blood-borne infection. E. Patient already has a blood-borne infection.

Correct Answer is B

Explanation

Choice A rationale

Stasis ulcers do not specifically predispose older adults to pneumonia and urinary infections. These infections have different primary risk factors and are not directly related to the presence of stasis ulcers.

Choice B rationale

The patient's defenses are already engaged with the initial infection, which can weaken the immune response and make the body more susceptible to additional infections, such as hospital-acquired infections (HAIs).

Choice C rationale

While being bedfast can increase the risk of pressure sores and related infections, it is not directly caused by the presence of a stasis ulcer. The patient's mobility status and overall health condition are more relevant factors.

Choice D rationale

The patient does not have a blood-borne infection. The presence of a stasis ulcer indicates a local infection, not a systemic blood-borne infection.

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A patient is sent home with an open wound that is still infected and being treated with wet-to-dry dressing changes four times a day. Before discharge, in order to prevent infecting other family members, the nurse would teach the patient to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing intervention most likely to decrease the chance of health care-associated infections (HAIs) for a 76-year-old patient following bowel resection surgery would be to have the patient:

Correct Answer is B

Explanation

An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the:

Correct Answer is B

Explanation

The nurse cautions that a person in the incubation period of an infection:

The nurse clarifies that the difference between the use of earlier types of isolation procedures and the use of current Standard Procedures plus Transmission-Based Precautions as outlined by the CDC:

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