NCLEX-PN

Category - Safety

A client has been on mechanical ventilation for more than 72 hours, which increases the client’s risk for Pseudomonas ventilator-associated pneumonia. Which of the following actions of the nurse is the most important when preventing the occurrence of nosocomial infections?
  1. The nurse washes hands before and after each contact with the client
  2. The nurse assists the client in semi-Fowler’s position for maximum lung expansion
  3. The nurse turns the client every 2 hours to mobilize the secretions
  4. The nurse gives oral care frequently to prevent oral infections
Explanation
Answer: A - The most important action of the nurse is to wash her hands before and after each client contact. The other options are appropriate, but hand washing is the most important method of avoiding noscomial infections.
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