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.

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A rationale

Keeping sterile gloved hands in sight, away from unsterile objects, maintains sterility by reducing the risk of accidental contamination.

Choice B rationale

Opening the wrapper of a sterile pack toward the body, starting with the proximal flap, increases the risk of contaminating the contents of the sterile pack, as the wrapper may touch unsterile clothing.

Choice C rationale

Avoiding coughing, sneezing, or talking near a sterile field is essential as respiratory droplets can introduce contaminants and compromise the sterility.

Choice D rationale

Avoiding reaching across or above a sterile field with bare hands or arms prevents contamination from skin cells or clothing particles that might fall into the field.

A. Throw the needle and syringe immediately in a covered garbage can with a red plastic liner to indicate the materials are biohazards. B. Recap the needle and place it carefully on the patient's table until leaving the room, then discard it in a garbage container in the nurses' medication room. C. Carefully break the needle from the syringe, using the needle cover to prevent reuse of a used syringe and needle. D. Never recap the needle afterward to avoid risk of needle stick.

Correct Answer is D

Explanation

Choice A rationale

Throwing the needle and syringe immediately into a covered garbage can with a red plastic liner is not the safest disposal method for biohazard materials. It does not prevent needle stick injuries effectively.

Choice B rationale

Recapping the needle and placing it on the patient's table until leaving the room is not a safe practice. It increases the risk of needle stick injuries and potential exposure to contaminated materials.

Choice C rationale

Breaking the needle from the syringe using the needle cover to prevent reuse does not ensure complete safety. It can still lead to needle stick injuries and improper handling of biohazard materials.

Choice D rationale

Never recapping the needle afterward is the safest approach. It minimizes the risk of needle stick injuries and ensures proper disposal in designated sharps containers immediately after use.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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