A client comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection?
A) Stress may adversely affect normal defense mechanisms.
B) White blood cells provide resistance to certain pathogens.
C) Intact skin and mucous membranes protect against microbial invasion.
D) Age, race, sex, and hereditary factors influence susceptibility to infection.
Ans: C
Intact skin and mucous membranes provide resistance to certain pathogens. A major burn of 40% of the body provides multiple portals of entry for pathogens.
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