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:
Limit ambulation.
Turn, cough, and deep breathe every 2 hours.
Keep the room door closed.
Get blood pressure, pulse, and respirations assessed every 4 hours.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While a scrub time of 7 minutes can be effective, it exceeds the necessary average time and may cause skin irritation with prolonged scrubbing.
Choice B rationale
A 6-minute scrub is also effective but similarly exceeds the average time, which is typically shorter to balance effectiveness and skin health.
Choice C rationale
A 5-minute scrub is the standard average time, balancing thoroughness in removing transient microorganisms with skin integrity.
Choice D rationale
A 3-minute scrub is often considered too short to ensure adequate removal of microorganisms, potentially compromising aseptic technique.
Correct Answer is D
Explanation
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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