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:
Stasis ulcers predispose the older adult to pneumonia and urinary infections.
Patient's defenses are already engaged with the initial infection.
Ulcer will make this patient bedfast.
Patient already has a blood-borne infection.
Patient already has a blood-borne infection.
The Correct Answer is B
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Symptoms of an infection may not always appear within 48 hours. The incubation period varies depending on the infectious agent and can range from hours to weeks, during which the person may not show any signs of illness.
Choice B rationale
A person in the incubation period does not exhibit symptoms and, therefore, is unlikely to seek medical attention for symptom relief. Medical attention is usually sought when symptoms manifest and impact the person's well-being.
Choice C rationale
During the incubation period, the person can transmit the disease to others even if they do not feel ill. This period involves the replication of the pathogen within the host, and the person may be contagious without knowing it.
Choice D rationale
Identifiable signs of a specific illness appear during the symptomatic phase, not during the incubation period. The incubation period is the time between exposure to the pathogen and the appearance of initial symptoms.
Correct Answer is D
Explanation
Choice A rationale
Gloves should be removed before other PPE to prevent contamination from potentially dirty gloves. However, they are not the last piece to be removed.
Choice B rationale
Gowns should be removed after gloves to avoid contaminating the clothing and skin. However, the mask, which prevents inhalation of contaminants, should be the last to be removed.
Choice C rationale
Eyewear should be removed before the mask to prevent contamination from the hands. However, they are not the last piece to be removed.
Choice D rationale
The mask should be removed last to ensure that the respiratory system is protected until all other contaminated PPE has been removed. This helps reduce the risk of inhaling any remaining airborne contaminants.
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