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 D
Explanation
Choice A rationale
Roundworms are common helminth infections but not the most common. They are typically transmitted through contaminated soil and food.
Choice B rationale
Hookworms are another type of helminth infection that can be common but are primarily transmitted through direct contact with contaminated soil.
Choice C rationale
Tapeworms are less common and are usually acquired through the consumption of undercooked meat.
Choice D rationale
Pinworms are the most common helminth infection, especially in children. They are highly contagious and spread through the ingestion of microscopic eggs from contaminated surfaces or fingers.
Correct Answer is C
Explanation
Choice A rationale
Requiring the use of a facemask by nursing staff is not sufficient alone as a nursing intervention for a surgical incision and IV line access. Comprehensive infection control measures are needed.
Choice B rationale
Maintaining "clean" technique is important, but "sterile" technique would be more appropriate for wound dressing changes and IV site care to prevent infection.
Choice C rationale
Assessing and documenting skin condition around the incision and IV site at each shift is correct because it helps in early identification of signs of infection, ensuring timely intervention.
Choice D rationale
Limiting visitors to immediate family may help reduce infection exposure, but it does not address the primary nursing intervention for monitoring and caring for the surgical incision and IV site.
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