The nurse works in infection control at a large hospital. Which client does the nurse recognize as being at greatest risk for acquiring a fungal infection?

Question

1. The client with severe burns over 20% of the body
2. The adolescent client with a fractured femur from an auto accident
3. The client with anemia who is pregnant with triplets
4. The client with malignant melanoma who is receiving chemotherapy

Answer 1

4
Rationale 1: The client with burns is at risk but will not acquire the infection if infection control procedures are followed.
Rationale 2: The adolescent with a fractured femur is not at risk.
Rationale 3: The pregnant client with anemia is not at risk.
Rationale 4: Chemotherapy suppresses the immune system; clients with a suppressed immune system are at highest risk.
Global Rationale: Chemotherapy suppresses the immune system; clients with a suppressed immune system are at highest risk. The client with burns is at risk but will not acquire the infection if infection control procedures are followed. The adolescent with a fractured femur is not at risk. The pregnant client with anemia is not at risk.