Nursing · NCLEX-RN

Nursing: Healthcare-Associated Infections

CAUTI, CLABSI, SSI, and VAP prevention bundles and antibiotic stewardship concepts, distinct from the isolation-precaution focus of the infection control deck.

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What does the abbreviation CAUTI stand for?
Catheter-associated urinary tract infection
What is the single most effective measure to prevent CAUTI?
Remove the urinary catheter as soon as it is no longer clinically needed
Where should a urinary drainage bag be positioned relative to the bladder?
Below the level of the bladder
What technique must be used when inserting a urinary catheter?
Sterile aseptic technique
Why is a urinary catheter secured to the patient's leg?
To prevent urethral tension and trauma from movement
What clinical signs suggest a patient with a catheter may have developed CAUTI?
Cloudy or foul-smelling urine and fever
How often should the nurse reassess whether a urinary catheter is still needed?
Daily
What does the abbreviation CLABSI stand for?
Central line-associated bloodstream infection
Which skin antiseptic is preferred before central line insertion?
Chlorhexidine-based antiseptic
What insertion practice requires a cap, mask, sterile gown, sterile gloves, and a large sterile drape?
Maximal sterile barrier precautions
How often is a transparent central line dressing routinely changed if it is clean, dry, and intact?
Every 5 to 7 days
What should be assessed daily regarding a central line?
Whether the line is still necessary, and it should be removed if not
What nursing action is called 'scrub the hub' before accessing a needleless connector?
Vigorously scrubbing the connector with an antiseptic for about 15 seconds before each access
Which central line insertion site is generally preferred over the femoral site to reduce CLABSI risk?
Subclavian vein
What does the abbreviation SSI stand for?
Surgical site infection

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