The nurse is caring for several clients on a hospital's surgical unit. Which of the following clients are at greatest risk for developing an infection?

A client age 52 who had gall bladder surgery and has osteoarthritis

A client age 18 who had plastic surgery on nose and is overweight

A client age 45 with a fractured wrist and in pain

A client age 78 with Rheumatoid arthritis who had foot surgery and a Foley catheter inserted

Answer and Explanation

The Correct Answer is D

A.   While gall bladder surgery carries a risk of infection, having osteoarthritis does not significantly increase the risk compared to other factors listed.
B.   Plastic surgery and being overweight may increase the risk of surgical site infections, but age and comorbidities are more significant factors.

C.   A fractured wrist may increase the risk of infection at the fracture site, but it is not as significant a risk factor as advanced age and comorbidities.
D.   Advanced age, rheumatoid arthritis, foot surgery, and Foley catheter insertion are all factors that increase the risk of infection, making this client the most vulnerable.

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Correct Answer is C

Explanation

A. Allergic responses typically involve an increase in eosinophils rather than lymphocytes.
B. While an inflammatory response may involve an increase in lymphocytes, the presentation of clear nasal drainage and cough with bilateral rales suggests a respiratory infection rather than a generalized inflammatory process.
C. Elevated lymphocytes are often indicative of a viral infection, as the body mounts an immune response to fight off the viral invader.
D. Bacterial infections typically involve an increase in neutrophils rather than lymphocytes, although lymphocytosis may occur in some bacterial infections as part of the immune response.

A. make sure the client's room has HEPA filtration B. wear a mask when providing the client care C. wear a gown when providing the client care D. make sure the client's room has negative airflow

Correct Answer is B

Explanation

A. HEPA filtration is not typically required for clients on droplet precautions.
B. Droplet precautions require healthcare workers to wear a mask when providing care to prevent the transmission of respiratory droplets.
C. Gowns are not typically required for clients on droplet precautions unless there is potential for contact with body fluids.
D. Negative airflow is not specifically indicated for clients on droplet precautions; it is more commonly associated with airborne precautions.

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The nurse is caring for several clients on a hospital's surgical unit. Which of the following clients are at greatest risk for developing an infection?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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