Which nursing action will most likely increase a patient's risk ...

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Which nursing action will most likely increase a patient's risk for developing a health careassociated infection?
 
  a. Uses surgical aseptic technique to suction an airway
  b. Uses a clean technique for inserting a urinary catheter
  c. Uses a cleaning stroke from the urinary meatus toward the rectum
  d. Uses a sterile bottled solution more than once within a 24-hour period

Question 2

The nurse is caring for an adult patient in the clinic who has been evacuated and is a victim of flooding. The nurse teaches the patient about rest, exercise, and eating properly and how to utilize deep breathing and visualization.
 
  What is the primary rationale for the nurse's actions related to the teaching?
  a. Topics taught are standard information taught during health care visits.
  b. The patient requested this information to teach the extended family members.
  c. Stress for long periods of time can lead to exhaustion and decreased resistance to infection.
  d. These techniques will help the patient manage the pain and loss of personal belongings.

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Answer to Question 1

ANS: B
Using clean technique (medical asepsis) to insert a urinary catheter would place the patient at risk for a health careassociated infection. Urinary catheters need to be inserted using sterile technique, which is also referred to as surgical asepsis. Surgical aseptic technique (also called sterile technique) should be used when suctioning an airway because it is considered a sterile body cavity. Washing from clean to dirty (urinary meatus toward rectum) is correct for decreasing infection risk. Bottled solutions may be used repeatedly during a 24-hour period; however, special care is needed to ensure that the solution in the bottle remains sterile. After 24 hours, the solution should be discarded.

Answer to Question 2

ANS: C
The body responds to emotional or physical stress by the general adaptation syndrome. If stress extends for long periods of time, this can lead to exhaustion, whereby energy stores are depleted and the body has no defenses against invading organisms. Techniques of deep breathing and visualization may be helpful with pain, but they are not the primary reason. The teachings listed are not all standard interventions taught at every health care visit. There is no data to indicate the patient requested this information for the family.