The nurse is caring for a client diagnosed with a systemic staphylococci infection from the client’s own flora. The nurse correctly notes that this is an example of a(n):
Exogenous Infection.
Endogenous Infection.
Community Acquired Infection.
Nosocomial Infection.
The Correct Answer is B
Choice A rationale
An exogenous infection occurs when a pathogen enters a patient’s body from their environment. For example, a healthcare worker can spread the infection due to poor adherence to infection control practices. This is not the case here as the infection is from the client’s own flora.
Choice B rationale
An endogenous infection is caused by the body’s normal flora. These microorganisms may act as opportunistic pathogens when the host is susceptible. In this case, the client’s systemic staphylococci infection originated from their own flora, making it an endogenous infection.
Choice C rationale
A community-acquired infection is one that was present or incubating prior to the patient being admitted to the hospital. Since the infection in this case originated from the client’s own flora and not from the community, this choice is incorrect.
Choice D rationale
A nosocomial infection, also known as a hospital-acquired infection, is an infection that is acquired in a hospital or other healthcare facility. Since the client’s infection originated from their own flora and not from the hospital environment, this choice is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
An infection’s resolution can indeed reverse delirium. Delirium is often caused by a physical or mental illness, such as an infection.
Choice B rationale
The statement “Delirium and dementia cannot coexist” is incorrect and indicates a need for further education. Delirium and dementia can coexist.
Choice C rationale
Sleep deprivation can lead to delirium. This is a correct statement and does not indicate a need for further education.
Choice D rationale
Frequent reality orientation should be used with delirium. This is a correct statement and does not indicate a need for further education.
Correct Answer is B
Explanation
Choice A rationale
This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.
Choice B rationale
This statement accurately represents the “E” component of the DESC tool, which stands for "Express your concerns"12. In this scenario, the nurse is expressing their feelings about the physician’s behavior and its impact on them. They’re stating how the physician’s actions made them feel uncomfortable, especially in front of other staff members and the patient. This is a crucial step in the DESC process as it allows the individual to express their feelings and concerns about the situation.
Choice C rationale
This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.
Choice D rationale
This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.
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