Which patient is most at risk for developing an infection?

A patient who is recovering from a right total hip surgery

A patient who has been admitted for stabilization of heart problems

A patient who has been admitted with dehydration

A patient who is in observation for chest pain

Answer and Explanation

The Correct Answer is A

Choice A reason: Hip surgery involves invasive procedures, increasing infection risk due to surgical wounds, immobility, and potential hardware. This patient faces higher risk than others, making it the correct choice.

Choice B reason: Heart problem stabilization may involve catheters, but surgical wounds pose a greater infection risk. Cardiac patients are less prone to immediate infection unless invasive devices are present, making this less likely.

Choice C reason: Dehydration weakens immunity but is less directly linked to infection than surgical wounds. Hydration correction reduces risk, making this patient less at risk than the surgical patient.

Choice D reason: Chest pain observation typically involves non-invasive monitoring, with lower infection risk than surgery. Without invasive procedures, this patient is less susceptible, making this incorrect.

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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Spilling sterile saline onto the sterile field introduces potential contaminants, as the liquid may carry microbes from surrounding areas, compromising sterility. This breaks the sterile field, making it correct.

Choice B reason: Dropping a sterile capped needle onto the sterile field does not introduce contaminants, as the needle remains sterile. The field remains intact, making this an incorrect choice for a break.

Choice C reason: Keeping the table above waist level maintains sterility, as areas below the waist are considered contaminated. This is a correct practice, not a break, making it incorrect.

Choice D reason: Lowering a gloved hand below the waist exposes it to non-sterile areas, contaminating the glove. This compromises the sterile field when the hand returns, making it a correct choice.

Choice E reason: The drape’s 1-inch border is considered non-sterile. A culture swab touching it becomes contaminated, breaking the sterile field when reintroduced, making this a correct choice.

A. Patient reports past medical history of gastric ulcer B. Patient reports last bowel movement was 2 days ago C. Patient states joint pain is 2/10 and intermittent D. Patient experiences respiratory depression after administration of an opioid medication

Correct Answer is A

Explanation

Choice A reason: Ibuprofen, an NSAID, increases the risk of gastrointestinal bleeding, especially in patients with a history of gastric ulcers. Holding the medication prevents exacerbation of the ulcer or perforation, prioritizing patient safety, making this the correct reason to withhold the drug.

Choice B reason: A bowel movement two days ago suggests mild constipation, not a contraindication for ibuprofen. While NSAIDs can cause gastrointestinal issues, constipation is not an immediate concern, making this choice incorrect for holding the medication.

Choice C reason: Joint pain rated 2/10 and intermittent may not warrant ibuprofen if pain is mild, but it is not a contraindication. The decision to hold is based on risks like ulcers, not pain severity, making this choice incorrect.

Choice D reason: Respiratory depression from opioids is unrelated to ibuprofen administration. While concerning, it does not contraindicate ibuprofen, which lacks respiratory effects, making this choice incorrect for holding the NSAID in this scenario.

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Which patient is most at risk for developing an infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A break in the sterile field occurs when the nurse does which of the following? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

The nurse is administering Ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?

Correct Answer is A

Explanation

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