Mary Jones admitted to the hospital with a chronic indwelling foley which was inserted by her urologist at 0900 of the same day. Urinalysis and culture were sent to the laboratory on the day of admission, patient exhibit fever 102.4 and antibiotic therapy initiated. Patient has extremely high WBC. What is this infection classified as?
Nosocomial
Community acquired
Acute infection
No Infection
The Correct Answer is A
A. A nosocomial infection is one that is acquired in a healthcare setting, such as a hospital. Given that Mary Jones had a Foley catheter inserted on the day of admission and developed symptoms of infection shortly thereafter, this indicates that the infection is likely related to her hospital stay.
B. Community-acquired infections occur outside of healthcare settings, so this does not apply since the infection arose after her hospital admission.
C. While the patient has an acute infection, the classification is more specifically defined by its origin (nosocomial in this case).
D. Since the patient is showing signs of infection (fever and high WBC), it is incorrect to say there is no infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While individuals with liver disease may have altered lipid metabolism, the primary reason for a low-fat diet is not related to atherosclerosis.
B. Weight gain may exacerbate liver disease but is not the main focus of a low-fat diet recommendation.
C. While weight management is important, the direct relationship between fat intake and liver function is more critical.
D. In hepatitis, the liver's ability to produce bile and emulsify fats can be impaired, making a low-fat diet advisable to reduce digestive strain.
Correct Answer is B
Explanation
A. The pannus is a pathological feature that forms over the synovial membrane, but tissue destruction primarily begins in the synovial membrane itself.
B. The synovial membrane becomes inflamed and thickened in rheumatoid arthritis, leading to destruction of the surrounding joint structures, making it the primary site of tissue damage.
C. While articular cartilage is affected, it is a secondary effect of the inflammatory processes originating in the synovial membrane.
D. Ligaments and tendons can be affected in RA but are not the primary sites of destruction.
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