The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on the nurses’ part would contribute to reducing health care–acquired infections? Select all that apply

Teaching correct handwashing to assigned patients

Using correct procedures in starting and caring for an intravenous infusion

Providing perineal care to a patient with an indwelling urinary catheter

Isolating a patient on antibiotics who has been having loose stool for 24 hours

Decreasing a patient’s environmental stimuli to decrease nausea

Answer and Explanation

Correct Answer : A,B,C

Iatrogenic infections, also known as healthcare-associated infections (HAIs), are infections acquired during the course of receiving healthcare treatment. These infections can result from invasive procedures, improper hand hygiene, or contamination from the healthcare environment.

Rationale for correct answer:

A. Teaching correct handwashing to assigned patients: Hand hygiene is the most effective method to prevent the spread of infection. Educating patients on proper handwashing technique helps reduce transmission of pathogens.

B. Using correct procedures in starting and caring for an intravenous infusion: Proper aseptic technique when inserting and maintaining IV lines reduces the risk of bloodstream infections, a common type of HAI.

C. Providing perineal care to a patient with an indwelling urinary catheter: Perineal care prevents bacterial colonization around the catheter site and reduces the risk of catheter-associated urinary tract infections (CAUTIs), a common iatrogenic infection.

Rationale for incorrect answer:

D. Isolating a patient on antibiotics who has been having loose stool for 24 hours: While loose stool could suggest a Clostridioides difficile (C. diff) infection, isolation might not be warranted until there's confirmation-either through a positive lab result or continued symptoms with clinical suspicion. Premature isolation without evidence may not align with resource allocation or institutional policy.

E. Decreasing a patient’s environmental stimuli to decrease nausea: While comfort measures are important, reducing environmental stimuli for nausea does not contribute to the prevention of infections and is unrelated to infection control practices.

Take home points:

Preventing iatrogenic infections requires vigilance in patient care practices, including:

proper catheter care
IV-line maintenance
patient education on hand hygiene among others

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","D"]

Explanation

Multidrug-resistant organisms (MDROs) are strains of bacteria that have developed resistance to multiple antibiotics, particularly broad-spectrum agents that are typically used as first-line treatments. These organisms pose a significant public health threat because they are harder to treat, often require more toxic or expensive medications.

Rationale for correct answer:

B. The antibiotics the patient has received are not strong enough to kill the organism: MDROs have developed resistance to antibiotics that would normally be effective. This resistance means that the usual antibiotics are no longer strong enough to treat the infection.

D. The organism has developed a resistance to one or more broad-spectrum antibiotics, indicating that the organism will be hard to treat effectively: These organisms are difficult to treat precisely because they have adapted to survive exposure to multiple common antibiotics.

Rationale for incorrect answers:

A. There is more than one organism in the wound that is causing the infection: This describes a polymicrobial infection, not a multidrug-resistant organism. MDRO refers to a single organism that is resistant to several antibiotics.

E. There are no longer any antibiotic options available to treat the patient’s infection: While MDROs are difficult to treat, there are usually still some options available, though they may be more limited or have greater side effects.

Take home points:

MDROs are single organisms resistant to multiple antibiotics, making infections harder to treat and control.
Educating patients about antibiotic resistance and the importance of completing prescribed antibiotics helps prevent the emergence of MDROs.

A. Last tetanus booster was at age 50 B. Receives a flu shot every year C. Has not received the hepatitis B vaccine D. Has not received the hepatitis A vaccine E. Has not received the herpes zoster vaccine

Correct Answer is ["B","C","D"]

Explanation

Immunization in older adults is a key preventive strategy to reduce morbidity and mortality from vaccine-preventable diseases. For adults 65 years and older without specific risk factors, ensuring up-to-date status on influenza, tetanus, and zoster vaccines is crucial.

Rationale for correct answer:

B. Receives a flu shot every year: Annual influenza vaccination is strongly recommended for all individuals aged 6 months and older, and especially for adults over 65, due to higher risk of severe complications.

C. Has not received the hepatitis B vaccine: Hepatitis B vaccination is not routinely indicated for adults unless they are in a high-risk group (e.g., healthcare workers, IV drug users, diabetics under 60). This client has no risk factors, so it's not required.

D. Has not received the hepatitis A vaccine: Hepatitis A vaccine is given to those at increased risk (e.g., travelers to endemic areas, people with chronic liver disease, drug users). It's not a routine vaccine for healthy older adults with no risk.

Rationale for incorrect answers:

A. Last tetanus booster was at age 50: Tetanus boosters (Td or Tdap) are recommended every 10 years. Since the client received the last booster at age 50, another is due by age 60.

E. Has not received the herpes zoster vaccine: The Shingrix vaccine (2 doses, 2–6 months apart) is recommended for all adults aged 50 and above, regardless of prior shingles history. The absence of this vaccine means the client is not current.

Take home points:

Adults aged 65 and above should receive:

the annual flu vaccine
stay up-to-date on tetanus boosters (every 10 years)
receive the shingles vaccine even if they’ve had shingles before.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on the nurses’ part would contribute to reducing health care–acquired infections? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is diagnosed with a multidrug-resistant organism (MDRO) in his surgical wound and asks the nurse what this means. What is the nurse’s best response? Select all that apply

Correct Answer is ["B","D"]

Explanation

The nurse evaluates the chart of a 65-year-old client with no apparent risk factors and concludes that which immunizations are current? Select all that apply

Correct Answer is ["B","C","D"]

Explanation

The nurse assesses the following data from a patient with diabetes mellitus who is 4 days postoperative for repair of an abdominal aortic aneurysm. Which assessment finding is of greatest concern for the nurse?

The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on the nurses’ part would contribute to reducing health care–acquired infections? Select all that apply

Which is the most effective nursing action for preventing and controlling the spread of infection?

Which type of mask or respirator is used for airborne precautions?

A patient who has been placed on contact precautions for Clostridium difficile (C. difficile) asks you to explain what he should know about this organism. Which statements made by the patient show an understanding of the patient teaching? Select all that apply

After teaching a client and family strategies to prevent infection, which statement by the client would indicate effective learning has occurred?

When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?

A patient is placed on airborne precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but the nurse recognizes that this is a normal response to isolation. Which is the nurse’s best intervention?