The nurse is aware that the patient most at risk for a health care-associated infection (HAI) would be the:

45-year-old in traction for a fractured femur.

56-year-old with pneumonia who is receiving oxygen by mask.

70-year-old with congestive heart failure attached to a monitor.

65-year-old with a Foley catheter.

Answer and Explanation

The Correct Answer is D

Choice A rationale

A 45-year-old in traction for a fractured femur is at risk for infection due to immobility and potential surgical wounds, but not as high as someone with a Foley catheter.

Choice B rationale

A 56-year-old with pneumonia receiving oxygen is at risk for respiratory infections, but the presence of a Foley catheter significantly increases the risk of healthcare-associated infections.

Choice C rationale

A 70-year-old with congestive heart failure attached to a monitor has a risk of infection due to potential breaks in skin integrity, but not as high as someone with a Foley catheter.

Choice D rationale

A 65-year-old with a Foley catheter is at the highest risk for health care-associated infections because the catheter provides a direct pathway for pathogens into the urinary tract, increasing infection risk.

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Correct Answer is D

Explanation

Choice A rationale

Lowering a used mask below the chin to reuse it later is not safe as it can lead to contamination of the mask and facial area, increasing the risk of infection.

Choice B rationale

Removing the mask first before any other personal protective equipment (PPE) can lead to contamination and is not the recommended sequence for doffing PPE.

Choice C rationale

Discarding the mask only if it is wet and storing it for reuse is not safe. Masks should not be reused, as they can harbor infectious agents and increase the risk of contamination.

Choice D rationale

Untying the bottom ties first, then the top, and disposing of the mask without touching it ensures that the person removing the mask avoids contamination. This method adheres to proper doffing procedures and minimizes the risk of infection.

A. Limit ambulation. B. Turn, cough, and deep breathe every 2 hours. C. Keep the room door closed. D. Get blood pressure, pulse, and respirations assessed every 4 hours.

Correct Answer is B

Explanation

Choice A rationale

Limiting ambulation can increase the risk of complications such as deep vein thrombosis and does not necessarily reduce HAIs.

Choice B rationale

Encouraging the patient to turn, cough, and deep breathe every 2 hours helps prevent respiratory complications, improves lung function, and reduces the risk of pneumonia, a common HAI.

Choice C rationale

Keeping the room door closed does not prevent HAIs and might isolate the patient, reducing mobility and social interaction.

Choice D rationale

Regular monitoring of vital signs is essential but does not directly reduce the risk of HAIs. Other measures, like proper hygiene and mobilization, are more effective.

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The nurse is aware that the patient most at risk for a health care-associated infection (HAI) would be the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When removing a used facemask, the nurse correctly:

Correct Answer is D

Explanation

The nursing intervention most likely to decrease the chance of health care-associated infections (HAIs) for a 76-year-old patient following bowel resection surgery would be to have the patient:

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?

When removing a used facemask, the nurse correctly:

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The nurse explains that medical asepsis differs from surgical asepsis in that medical asepsis:

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When the nurse is using a syringe and needle to give a patient an injection, he or she should:

A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)

A patient has a nursing diagnosis of infection, related to inadequate primary defenses, as evidenced by surgical incision and intravenous (IV) line access. An appropriate nursing intervention for this patient is to: