Exhibits
Choose:
A Foley catheter was reinserted after surgery for urinary retention.
Retired mechanic.
Age.
History of diabetes.
Incision.
Gender.
Correct Answer : A,C,D,E
Choice A reason:
A Foley catheter was reinserted after surgery for urinary retention is a significant factor because indwelling urinary catheters are a common source of Healthcare-Associated Infections (HAIs), specifically catheter-associated urinary tract infections (CAUTIs). The presence of a Foley catheter provides a direct pathway for bacteria to enter the bladder, increasing the risk of infection. Regular assessment of the need for the catheter and maintaining strict aseptic technique during insertion and care are essential to prevent CAUTIs. The CDC emphasizes the importance of removing catheters as soon as they are no longer necessary to reduce the risk of infection.
Choice B reason:
Retired mechanic is not directly relevant to the risk of HAIs. While Mr. Johnson’s previous occupation might provide some context about his lifestyle and potential exposure to certain risks, it does not have a direct impact on his current risk for developing HAIs. The focus should be on his current medical condition and the procedures he has undergone.
Choice C reason:
Age is a critical factor in the risk of developing HAIs. Older adults, like Mr. Johnson, have a higher risk of infections due to age-related changes in the immune system, comorbidities, and decreased physiological reserves. Age can also affect the healing process and the body’s ability to fight off infections. Therefore, Mr. Johnson’s age is an important consideration in his risk assessment for HAIs. Older patients often require more vigilant monitoring and preventive measures to reduce the risk of infections.
Choice D reason:
History of diabetes significantly increases the risk of HAIs. Diabetes can impair the immune system, making it harder for the body to fight off infections. It also affects wound healing, increasing the risk of surgical site infections (SSIs). Patients with diabetes need careful monitoring and management to prevent complications related to infections. Proper glycemic control is crucial in reducing the risk of HAIs in diabetic patients.
Choice E reason:
Incision is a direct risk factor for surgical site infections (SSIs). The midline incision from Mr. Johnson’s abdominal surgery is a potential entry point for bacteria, which can lead to infection. Proper wound care, including keeping the incision clean and dry, monitoring for signs of infection, and timely dressing changes, is crucial to prevent SSIs. Surgical site infections are among the most common HAIs and require diligent preventive measures.
Choice F reason:
Gender is not a primary factor in the risk of HAIs. While some studies suggest that certain infections may have different prevalence rates between genders, it is not a significant factor compared to the other considerations such as the presence of a catheter, age, diabetes, and surgical incision. The focus should be on the more direct risk factors that have a substantial impact on the likelihood of developing HAIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","F"]
Explanation
Choice A: All materials that enter the sterile field must be sterile
This is a correct principle of aseptic technique. Ensuring that all materials entering the sterile field are sterile is fundamental to preventing contamination and infection during surgical procedures. Any non-sterile item introduced into the sterile field can introduce pathogens, compromising patient safety.
Choice B: The surgical team working in the operative field must wear sterile gowns and gloves
This is another correct principle. Members of the surgical team who work directly in the operative field must wear sterile gowns and gloves to create a barrier against microorganisms. This practice helps maintain the sterility of the surgical environment and protects both the patient and the healthcare providers.
Choice C: The sterile package is contaminated once it has been opened
This statement is incorrect. A sterile package is not necessarily contaminated once it has been opened, provided it is opened correctly and the contents are handled using aseptic techniques. Proper opening and handling ensure that the sterility of the contents is maintained.
Choice D: The circulating nurse must wear sterile gowns and gloves
This statement is incorrect. The circulating nurse does not need to wear sterile gowns and gloves because they do not work directly in the sterile field. Instead, they assist by providing necessary supplies and support from outside the sterile area.
Choice E: Tables are sterile only at tabletop level. Items extending beneath this level are contaminated
This is a correct principle. In the operating room, the sterility of tables is maintained only at the tabletop level. Any items that extend below this level are considered contaminated and should not be used in the sterile field.
Choice F: A wide margin of safety is maintained between sterile and unsterile fields
This is also a correct principle. Maintaining a wide margin of safety between sterile and unsterile fields helps prevent accidental contamination. This practice ensures that sterile areas remain uncontaminated by non-sterile items or personnel.
Correct Answer is True
Explanation
Choice A: True
Chemotherapy drugs work by targeting rapidly dividing cells, a characteristic of cancer cells. However, they cannot selectively distinguish between cancer cells and normal cells that also divide rapidly, such as those in the bone marrow, digestive tract, and hair follicles. This lack of selectivity leads to the common side effects of chemotherapy, such as hair loss, nausea, and decreased blood cell counts. The inability to differentiate between normal and cancer cells is a significant limitation of traditional chemotherapy.
Choice B: False
This choice is incorrect. If chemotherapy drugs could selectively target only cancer cells, the treatment would have fewer side effects and be more effective. However, the non-selective nature of these drugs means they also damage normal, healthy cells that divide rapidly. This non-selectivity is why patients undergoing chemotherapy often experience a range of side effects, as the treatment impacts both cancerous and healthy cells.
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