By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?
Creating a susceptible host
Maintaining the integrity of a portal of entry
Creating a reservoir to decrease the risk of infection
Sterilizing the area to reduce the reservoir risk
The Correct Answer is B
Choice A reason: Creating a susceptible host is not a way to break the chain of infection, but rather a way to facilitate it. A susceptible host is someone who is vulnerable to infection due to factors such as age, immunocompromised status, or chronic diseases.
Choice B reason: Maintaining the integrity of a portal of entry is a way to break the chain of infection, because it prevents the entry of microorganisms into the body. A portal of entry is any place where microorganisms can enter the body, such as the skin, mucous membranes, or respiratory tract. By reducing skin breakdown, the nurse is protecting the skin from becoming a portal of entry for infection.
Choice C reason: Creating a reservoir to decrease the risk of infection is a contradiction, because a reservoir is a place where microorganisms can multiply and survive, such as a human, animal, or environment. A reservoir increases the risk of infection, not decreases it.
Choice D reason: Sterilizing the area to reduce the reservoir risk is a way to break the chain of infection, but it is not related to reducing skin breakdown. Sterilizing the area means killing or removing all microorganisms from a surface or object, such as a surgical instrument or a wound dressing. This can reduce the reservoir risk, but it does not affect the integrity of the skin as a portal of entry.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A decreased level of rheumatoid factor is not seen in clients with rheumatoid arthritis. Rheumatoid factor is an antibody that is produced by the immune system and can bind to other antibodies. A high level of rheumatoid factor indicates an autoimmune disorder, such as rheumatoid arthritis.
Choice B reason: A negative rheumatoid factor is not seen in clients with rheumatoid arthritis. A negative rheumatoid factor means that the antibody is not detected in the blood. A negative rheumatoid factor does not rule out rheumatoid arthritis, but it may suggest a different type of arthritis or another condition.
Choice C reason: A positive rheumatoid factor is seen in clients with rheumatoid arthritis. A positive rheumatoid factor means that the antibody is detected in the blood. A positive rheumatoid factor is more likely to occur in clients with rheumatoid arthritis, especially during a flareup of the disease.
Choice D reason: Factor does not change is not seen in clients with rheumatoid arthritis. Rheumatoid factor can vary over time and may change depending on the activity of the disease. Rheumatoid factor may increase during a flareup and decrease during remission.
Correct Answer is C
Explanation
Choice A reason: This is not the correct answer because opioids are a class of medications that act on the opioid receptors in the brain and spinal cord to reduce pain perception and emotional response. Opioids do not have a direct effect on tissue inflammation or bone healing, but they can cause side effects such as constipation, nausea, sedation, respiratory depression, and addiction.
Choice B reason: This is not the correct answer because anticoagulants are a class of medications that prevent or reduce the formation of blood clots by interfering with the clotting factors or platelets. Anticoagulants do not have a direct effect on tissue inflammation or bone healing, but they can increase the risk of bleeding and hematoma formation, which can impair the blood supply and oxygen delivery to the injured tissues.
Choice C reason: This is the correct answer because NSAIDs are a class of medications that inhibit the enzyme cyclooxygenase (COX), which is involved in the synthesis of prostaglandins, which are inflammatory mediators that cause pain, swelling, and fever. NSAIDs can decrease tissue inflammation and pain, but they can also delay bone healing by reducing the formation of osteoblasts, which are cells that build new bone tissue.
Choice D reason: This is not the correct answer because narcotics are another term for opioids, which are a class of medications that act on the opioid receptors in the brain and spinal cord to reduce pain perception and emotional response. Narcotics do not have a direct effect on tissue inflammation or bone healing, but they can cause side effects such as constipation, nausea, sedation, respiratory depression, and addiction.
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