A patient in the ICU has a central venous catheter in place. The patient has now become septic with no obvious cause or source of infection. Antibiotic therapy does not help resolve the sepsis

What would the nurse suspect that the patient has most likely developed?
A) Health care-associated infection (HAI)
B) Methicillin-resistant staphylococcus aureus (MRSA)
C) Secondary bloodstream infection
D) Vancomycin-resistant enterococcus (VRE)


Ans: A
Feedback: Health care-associated infection (HAI) is an infection not present or incubating at the time of admission to the health care setting; this term is replacing the term "nosocomial infection," which refers only to those infections acquired in a hospital

Nursing

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A patient has lamivudine-resistant hepatitis B and has been taking entecavir [Baraclude] for 2 years. The patient asks the nurse why the provider has recommended taking the drug for another year. What will the nurse tell the patient?

a. "Entecavir can reverse fibrosis and cirr-hosis of the liver when taken long term." b. "It is necessary to continue taking enteca-vir to avoid withdrawal symptoms." c. "The drug will be given until the infection is completely eradicated." d. "You will need to continue taking enteca-vir to prevent lactic acidosis and hepato-toxicity."

Nursing

The nurse assesses a patient using the Braden scale. The patient scores a 13 . What action is most important to add to the patient's care plan?

a. Encourage high-protein meals and snacks b. Turn the patient every to 2 hours c. Assess the patient's skin daily d. Monitor patient's prealbumin weekly

Nursing

The nurse tells a patient that the functional causes of hypoglycemia include (select all that apply):

1. dumping syndrome. 2. overdose of insulin. 3. Addison's disease. 4. spontaneous hypoglycemia. 5. chronic alcoholism.

Nursing

When general anesthesia is necessary for a cesarean delivery, the nurse should be prepared to: (Select all that apply.)

1. Administer an antacid to the client. 2. Place a wedge under the left hip. 3. Apply cricoid pressure during anesthesia intubation. 4. Preoxygenate for 3–5 minutes before anesthesia.

Nursing