The nurse is concerned that an older adult patient could be at risk for developing an infection. Which intervention led to this concern for the patient?
1. urinary catheterization
2. applying anti-embolism stockings
3. ambulation with the assistance of a walker
4. medicating for pain as needed prior to physical therapy
Correct Answer: 1
Invasive procedures and altered immune defenses are the main factors contributing to hospital-acquired infection. Urinary catheterization is the number one cause. The use of anti-embolism stockings, ambulating with a walker, and medicating for pain are not associated with nosocomial infections.
You might also like to view...
The emergency department (ED) triage nurse is assessing four victims involved in a motor vehicle collision. Which patient has the highest priority for treatment?
a. A patient with no pedal pulses. b. A patient with an open femur fracture. c. A patient with bleeding facial lacerations. d. A patient with paradoxic chest movements.
What is a question to ask for which evidence can be sought in a literature review for the issue of making decisions about dose?
A) When have data for this type of intervention typically been controlled? B) Does the literature suggest that effects deteriorate? C) Does the literature suggest that there are delayed effects? D) How intense have other similar interventions been?
You are working with an elderly client in a nursing home. The client is in a wheelchair most of the day, sitting alone in the corner of the dayroom, either grabbing at everyone who passes by or yelling out to people. This client has no visitors
The only living relative is a distant cousin who only communicates with the administrator of the home. Based on what you know about this client, you would put which of the following diagnoses in the highest priority? a. Loneliness b. Hopelessness c. Relocation Stress Syndrome d. Depression
The nurse is working with a client receiving an intravenous heparin sodium drip. The nurse should review which of the following laboratory studies to determine the therapeutic effect of heparin for the client?
1. Bleeding time 2. Thrombin time 3. Prothrombin time (PT) 4. Partial thromboplastin time (PTT)