Author Question: In a small rural hospital they work with a wide variety of clients. Of this afternoon client's ... (Read 42 times)

asan beg · **on:** Jul 23, 2018

In a small rural hospital they work with a wide variety of clients. Of this afternoon client's ad-mitted, the nurse acknowledges the client with the highest susceptibility to infection is the indi-vidual with:

1. Burns
2. Diabetes
3. Pulmonary emphysema
4. Peripheral vascular disease

Question 2

The nurse is observing the new staff member work with the client. Of the following activities, which one has the greatest possibility of contributing to a nosocomial infection and requires cor-rection?

1. Washing hands before applying a dressing
2. Taping a plastic bag to the bed rail for tissue disposal
3. Placing a Foley catheter bag on the bed when transferring a client
4. Using alcohol to cleanse the skin before starting an intravenous line

steff9894 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Burn clients have a very high susceptibility to infection because of the damage to skin surfaces. This would be the individual with the highest risk for infection. Victims of chronic diseases such as diabetes mellitus and multiple sclerosis are susceptible to infection because of general debilita-tion and nutritional impairment. Diseases that impair body system defenses, such as emphysema and bronchitis (which impair ciliary action and thicken mucus), increase susceptibility to infec-tion. Diseases that impair body system defenses, such as peripheral vascular disease (which re-duces blood flow to injured tissues), increase susceptibility to infection.

Answer to Question 2

ANS: 3
The staff member who places the Foley catheter bag on the bed when transferring the client is placing the client at risk for a nosocomial infection because urine in the catheter or drainage tube may reenter the bladder (reflux). Washing hands before applying a dressing is a correct action to help prevent a nosocomial infection. Taping a plastic bag to the bed rail for tissue disposal is a correct action to aid the client in proper disposal of secretions. Using alcohol to cleanse the skin before starting an intravenous line is a correct action to prevent a nosocomial infection of the bloodstream.