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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Gloves should be removed before other PPE to prevent contamination from potentially dirty gloves. However, they are not the last piece to be removed.

Choice B rationale

Gowns should be removed after gloves to avoid contaminating the clothing and skin. However, the mask, which prevents inhalation of contaminants, should be the last to be removed.

Choice C rationale

Eyewear should be removed before the mask to prevent contamination from the hands. However, they are not the last piece to be removed.

Choice D rationale

The mask should be removed last to ensure that the respiratory system is protected until all other contaminated PPE has been removed. This helps reduce the risk of inhaling any remaining airborne contaminants.

A. Keep the bed flat to aid in lung expansion. B. Cough frequently to make up for the loss of cilia. C. Encourage bed rest. D. Restrict fluid to prevent pulmonary congestion.

Correct Answer is B

Explanation

Choice A rationale

Keeping the bed flat does not necessarily aid lung expansion and can sometimes increase the risk of aspiration in patients with compromised mobility or cognition.

Choice B rationale

Encouraging the patient to cough frequently helps clear secretions from the lungs, compensating for the diminished function of cilia in elderly patients.

Choice C rationale

Encouraging bed rest can lead to complications such as muscle atrophy, decreased lung capacity, and increased risk of pressure ulcers in elderly patients.

Choice D rationale

Restricting fluid intake to prevent pulmonary congestion is not generally recommended unless there is a specific medical condition requiring fluid restriction, as adequate hydration is vital for overall health.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?

Correct Answer is D

Explanation

The nurse encourages the 84-year-old patient who is recovering from a hip replacement to:

Correct Answer is B

Explanation

A young patient became ill with mononucleosis that she contracted from drinking out of the same glass as her boyfriend who also had the disease. The glass, an inanimate object, has caused the indirect transmission. The inanimate transmitter is called:

Health personnel should wash their hands with soap and water at the beginning of the shift for:

The nurse clarifies that the difference between the use of earlier types of isolation procedures and the use of current Standard Procedures plus Transmission-Based Precautions as outlined by the CDC:

A nurse on a medical unit is reinforcing teaching with a group of assistive personnel about handling clients' bed linens safely. Which of the following instructions should the nurse include?

The nurse explains that the body's normal flora serves as:

When he is using a needle stick, he should:

The nurse explains to the patient who has pneumococcal pneumonia that the lungs serve as the:

A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?