Author Question: A nurse caring for an elderly client who has had surgery and is in the hospital knows that the ... (Read 38 times)

soccerdreamer_17 · **on:** Jul 23, 2018

A nurse caring for an elderly client who has had surgery and is in the hospital knows that the cli-ent is at high risk for developing a nosocomial infection.

One of the most important things that the nurse can do to prevent this client from obtaining a nosocomial infection is to:
1. Practice appropriate hand hygiene
2. Request prophylactic antibiotics for the client
3. Place the client in isolation
4. Encourage the client to turn, cough and deep breath every 2 hours

Question 2

Which of the following assessment findings is most critical in a client who is currently being re-strained with mechanical wrist restraints?

1. Angry, loud crying
2. Urinary incontinence
3. Reddened areas on wrists
4. Hands are cool to the touch

dantucker · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2
Antibiotics should be used appropriately to prevent resistant organisms. The best way to prevent nosocomial infections is to perform hand hygiene before and after each client encounter and after contact with contaminated objects. Isolation will not in itself prevent a nosocomial infection. Answer 4 will help prevent atelectasis, but not necessarily a nosocomial infection.

Answer to Question 2

ANS: 4
While the use of any restraint may be associated with serious complications, including pressure ulcers, constipation, pneumonia, urinary and fecal incontinence, and urinary retention, the most serious are contractures, nerve damage, and circulatory impairment. The coolness of the client's hands indicates poor circulation and can result in permanent damage.