Author Question: The nurse is concerned that an older adult patient could be at risk for developing an infection. ... (Read 45 times)

rachel9 · **on:** Jun 25, 2018

The nurse is concerned that an older adult patient could be at risk for developing an infection. Which intervention led to this concern for the patient?

1. urinary catheterization
2. applying anti-embolism stockings
3. ambulation with the assistance of a walker
4. medicating for pain as needed prior to physical therapy

Question 2

The nurse believes that a patient is experiencing a systemic reaction associated with an inflammatory response. Which assessment finding supports this nurse's belief?

1. edematous groin lymph nodes
2. erythema
3. edema
4. pain

shaikhs · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

Invasive procedures and altered immune defenses are the main factors contributing to hospital-acquired infection. Urinary catheterization is the number one cause. The use of anti-embolism stockings, ambulating with a walker, and medicating for pain are not associated with nosocomial infections.

Answer to Question 2

Correct Answer: 1

Systemic reactions associated with an inflammatory response include an increase in the size of lymph nodes, fever, loss of appetite, fatigue, and leukocytosis. Erythema, warmth, pain, edema, and functional impairment indicate a local reaction.