Nurse Logic Testing and Remediation Advanced Test

A nurse in a long-term care facility is assisting with an educational program regarding common sites of health care associated infections for a group of newly hired assistive personnel. Which of the following sites should be included in the teaching? (Select all that apply.) - Urinary Tract, Surgical Wounds, Respiratory Tract, an Blood Stream are all correct Urinary tract is correct. Health care associated infections are caused from health care delivery in a health care facility. These result from prescribed antibiotic administration, presence of multi-medication resistant organisms, breeches in infection control practices, and invasive procedures. The urinary tract is a common site for health care associated infections. ***(UTIs and CAUTIs from caths) Surgical wound is correct. ***(any open wound can contract bacteria if not properly cleaned/maintained) Musculoskeletal system is INCORRECT. While injuries can occur in the health care setting that affect the musculoskeletal system, this is not a common site for health care associated infections. Respiratory tract is correct. ***( droplet and airborne precautions are a must, TB, pertussis, rubella etc..) Blood stream is correct. ***(any open wound again, any time an IV is placed or injected etc. hard line to the blood stream and cause for sepsis) A nurse in a pediatric provider's office is conducting telephone triage and receives a call from a client regarding her 4-day-old newborn who was circumcised 2 days ago. Listen to the audio clip and determine which of the following responses by the nurse is appropriate. "i was changing my baby diaper and there was a yellow crust around his penis, what do i do?" - "Do not attempt to remove it" Yellow exudate covers the penis 24 hr after the circumcision and will persist for 2 to 3 days. This is an expected finding and should not be removed. The nurse should provide teaching to the client regarding circumcision care. A nurse in a rehabilitation center is caring for a client who has just had a cerebrovascular accident. Based on a review of the client's medical record, which of the following findings should be immediately reported to the provider? - Temperature 37.6° C (99.8° F