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
Dressings are typically sterilized using steam or other standard methods, not ethylene oxide gas, which is reserved for materials that are sensitive to heat and moisture.
Choice B rationale
Surgical instruments are commonly sterilized using steam autoclaving, which is highly effective and efficient.
Choice C rationale
Floors and walls do not require sterilization with ethylene oxide gas; standard cleaning and disinfection methods are sufficient.
Choice D rationale
Heat-sensitive items require ethylene oxide gas sterilization because it is effective at low temperatures without damaging delicate materials.
Correct Answer is A
Explanation
Choice A rationale
A 10% solution of chlorine bleach is an effective disinfectant for contaminated areas in the home. Chlorine bleach has broad-spectrum antimicrobial properties, making it suitable for killing various pathogens, including bacteria and viruses.
Choice B rationale
Soaking in a solution of povidone iodine for 30 minutes and rinsing with hot water is not practical for home disinfection. While povidone iodine is effective as a disinfectant, it is typically used for medical purposes and not for cleaning household surfaces.
Choice C rationale
A 12% solution of alcohol is not as effective as a 10% solution of chlorine bleach for disinfecting contaminated areas in the home. Alcohol concentrations above 70% are generally more effective for disinfection purposes.
Choice D rationale
Covering the area with boiling water and letting it air dry is not a reliable method for disinfecting contaminated areas. Boiling water may not effectively kill all pathogens, and this method lacks the broad-spectrum efficacy of chemical disinfectants.
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