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 A
Explanation
Choice A rationale
Suctioning a tracheotomy involves contact with respiratory secretions which can be infectious. Protective eyewear is necessary to prevent exposure to potentially infectious fluids.
Choice B rationale
Changing a baby’s diaper involves exposure to feces and urine, but does not usually require protective eyewear as splashing is not common.
Choice C rationale
Applying a dressing on the leg generally does not involve significant risk of splashes or sprays to the eyes, making protective eyewear unnecessary.
Choice D rationale
Gathering linens off a contaminated bed poses some risk of contamination, but typically does not involve splashes or sprays that would necessitate protective eyewear.
Correct Answer is C
Explanation
Choice A rationale
Symptoms of an infection may not always appear within 48 hours. The incubation period varies depending on the infectious agent and can range from hours to weeks, during which the person may not show any signs of illness.
Choice B rationale
A person in the incubation period does not exhibit symptoms and, therefore, is unlikely to seek medical attention for symptom relief. Medical attention is usually sought when symptoms manifest and impact the person's well-being.
Choice C rationale
During the incubation period, the person can transmit the disease to others even if they do not feel ill. This period involves the replication of the pathogen within the host, and the person may be contagious without knowing it.
Choice D rationale
Identifiable signs of a specific illness appear during the symptomatic phase, not during the incubation period. The incubation period is the time between exposure to the pathogen and the appearance of initial symptoms.
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