To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:

Request a Foley catheter to be inserted.

Offer a urinal every 2 hours.

Encourage fluid intake to keep urine dilute.

Encourage intake of apple juice to keep urine acidic.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Requesting a Foley catheter for an older adult patient increases the risk of catheter-associated urinary tract infections (CAUTIs). Avoiding unnecessary catheterization is a better approach to prevent infections.

Choice B rationale

Offering a urinal every 2 hours may not significantly reduce the risk of urinary infections. While it encourages regular voiding, it does not address the need to keep urine dilute to prevent infections.

Choice C rationale

Encouraging fluid intake helps keep urine dilute, which reduces the risk of urinary tract infections. Adequate hydration flushes out bacteria and helps maintain a healthy urinary system.

Choice D rationale

While apple juice can help acidify urine, it is not the primary strategy for preventing urinary infections. Maintaining overall hydration with water is more effective in keeping the urine dilute and reducing infection risk.

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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. Ask the health care provider whether she contaminated her glove and the sterile field. B. Point out the possible break in surgical asepsis and provide another set of sterile gloves and a fresh sterile field. C. Not say anything, because it is near the end of the procedure. D. Report the health care provider for violating surgical asepsis and endangering the patient.

Correct Answer is B

Explanation

Choice A rationale

Asking the health care provider if they contaminated their glove and the sterile field is not the most effective response. The provider may not be aware of the contamination, and asking this question does not immediately address the contamination issue. Ensuring the sterile field remains uncontaminated is crucial in preventing infections.

Choice B rationale

Pointing out the possible break in surgical asepsis and providing another set of sterile gloves and a fresh sterile field is the best action. This ensures that the sterile environment is maintained, reducing the risk of infection and promoting patient safety.

Choice C rationale

Not saying anything because it is near the end of the procedure is unsafe. Even if the procedure is almost complete, any contamination can increase the risk of infection. It is essential to address the contamination immediately to ensure patient safety.

Choice D rationale

Reporting the health care provider for violating surgical asepsis and endangering the patient is not an immediate solution. While it is important to report such incidents for future prevention, the priority should be to address the contamination promptly to maintain the sterile field and protect the patient.

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To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:

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 is helping the health care provider perform a sterile procedure at the bedside. Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field. The nurse should:

Correct Answer is B

Explanation

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:

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?

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A nurse is reinforcing teaching with a client about hand hygiene. Which of the following client statements indicates a need for further teaching?

The nurse explains that the immunizations against hepatitis B will:

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