Author Question: A client is admitted with pneumonia and endocarditis. During admission, the nurse inserts an ... (Read 29 times)

Engineer · **on:** Jul 22, 2018

A client is admitted with pneumonia and endocarditis. During admission, the nurse inserts an indwelling urinary catheter and administers IV fluids. The IV infiltrates and causes a localized thrombophlebitis.

After discharge, the client reports symptoms diagnosed as a urinary tract infection attributed to the indwelling urinary catheter. Which of these diagnoses would be considered a healthcare-associated infection? 1. Pneumonia
2. Endocarditis
3. Urinary tract infection
4. Thrombophlebitis

Question 2

The nurse is caring for a woman who had sextuplets six hours ago. When the nurse examines the client's lochia, she finds a slow, steady trickle of bright red blood with large clots. The nurse suspects possible:

1. Uterine atony.
2. Uterine prolapse.
3. Third-degree laceration of the perineum.
4. Vulvar hematoma.

CourtneyCNorton · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale 1: A healthcare-associated infection is an infection created by health care delivery. The client's urinary tract infection resulted from the indwelling catheter. The client was admitted with pneumonia and endocarditis, so these were not health care-induced. Thrombophlebitis is not an infection but an inflammation of a blood vessel.

Answer to Question 2

1
Rationale: The woman with multiple births is at increased risk for uterine atony manifesting as a slow trickle of bright red bleeding and failure of the uterus to contract.