Which hospitalized patient is most at risk for developing a healthcare-associated infection? Mr. Y, a 60-year-old patient who smokes two packs of cigarettes daily Mrs. J, a 40-year-old patient who has a white blood cell count of 6,000/mm3 Mr. L, a 65-year-old patient who has an indwelling urinary catheter in place Mrs. M, a 60-year-old patient who is a vegetarian and slightly underweight
Question
Which hospitalized patient is most at risk for developing a healthcare-associated infection? Mr. Y, a 60-year-old patient who smokes two packs of cigarettes daily Mrs. J, a 40-year-old patient who has a white blood cell count of 6,000/mm3 Mr. L, a 65-year-old patient who has an indwelling urinary catheter in place Mrs. M, a 60-year-old patient who is a vegetarian and slightly underweight
Solution
Mr. L, a 65-year-old patient who has an indwelling urinary catheter in place, is most at risk for developing a healthcare-associated infection. This is because indwelling medical devices like urinary catheters can provide a direct entry route for pathogens. Smoking, age, diet, and a normal white blood cell count (like Mrs. J's) do not increase the risk of healthcare-associated infections as significantly as the presence of an indwelling medical device.
Similar Questions
The nurse identifies which of the following hospitalized clients to be at greatest risk for the development of a nosocomial urinary tract infection? A. A 48-year-old male suspected of Parkinson’s disease who had been jogging prior to admission B. A 75-year-old male who has pancreatic cancer C. A 34-year-old male who drinks 2500 ml of fluids daily, following a fracture of fibula the D. A 60-year-old obese female with cholecystitis
Which of the following clients is at greatest risk for acquiring an infection? A 56-year-old with a urinary catheter 2 days after prostatectomy A 27-year-old diagnosed with human immunodeficiency virus (HIV) A 43-year-old who is 3 days post appendectomy and is currently afebrile A 16-year-old with a compound fractured femur as a result of a bike accident
The most important risk factor(s) for the development of a healthcare associated infection in the older person is which of the following? The length of time they are in hospital for and the number of times that they move wards The presence of an invasive indwelling device and the degree of any underlying illness Whether they are exposed to other patients with infections If they are bed bound and can’t cough properly
Patients have an increased risk of developing a healthcare associated infection in an acute hospital setting because: There are more patients with Clostridium difficile in hospitals Wards are short-staffed There are often high-bed occupancy rates; faster patient through put; different patient groups; invasive procedures; increased exposure to other bacteria Invasive devices such as urinary catheters and peripheral intravenous cannulae are often inserted in hospitalized patients
What are the risks of infection for the elderly?
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