Complete Solutions
A nurse has seen several clients at a community health center.
Which of the clients would be most at risk for developing an
infection?
A) An older adult with several chronic illnesses
B) An infant who has just received first immunizations
C) An adolescent who had a basketball physical
D) A middle-aged adult with joint pain and stiffness
Ans: A
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
,A nurse is educating adolescents on how to prevent infections.
What statement by one of the adolescents indicates that more
education is needed?
A) "I will wash my hands before and after going to the
bathroom."
B) "I don't wear a condom when I have sex, but I know my
partners."
C) "I always eat fruits and vegetables, and I sleep eight hours a
night."
D) "When I have an infection, I rest and take my medications."
Ans: B
A female client is on isolation because she acquired a
methicillin-resistant S. aureus (MRSA) infection after
hospitalization for hip replacement surgery.
What name is given to this type of infection?
A) Nosocomial
B) Viral
C) Iatrogenic
D) Antimicrobial
Ans: A
The following procedures have been ordered and implemented
for a hospitalized client.
, Which procedure carries the greatest risk for a nosocomial
infection?
A) Enema
B) Intramuscular injections
C) Heat lamp
D) Urinary catheterization
Ans: D
A nursing home recently has had a significant number of
nosocomial infections.
Which of the following measures might be instituted to decrease
this trend?
A) Mandating antibiotics for all nursing home residents
B) Have written, infection-prevention practices for all
employees
C) Requiring all employees to have monthly screenings for skin
flora
D) Restricting visitors and community activities for residents
Ans: B
What are the recommended cleansing agents for hand hygiene in
any setting when the risk of infection is high?
A) Liquid or bar hand soap
B) Cold water
C) Hot water
D) Antimicrobial products