The nurse is caring for a postoperative client with a localized sinus infection. The most appropri-ate means by which the nurse can minimize the risk of this client developing a systemic infection is to:
1. Adhere strictly to standard precaution techniques
2. Dispense prescribed anti-infective medication as ordered
3. Monitor the client regularly for exacerbation of the sinus infection
4. Review lab work daily to determine the presence of increased white cell count
ANS: 1
If an infection is localized (e.g., a wound infection), use of standard precautions and personal protective equipment (PPE) will block the spread of infection to other sites, thus preventing an infection that affects the entire body instead of just a single organ or part (systemic). While the other options are not incorrect, they are not as directed at minimizing the risk of infection as is the answer.
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