Approach to nosocomial infections Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 62-year-old man is seen on the seventh day of hospitalization. He was hospitalized because of a perforated gastric ulcer that required surgical repair. The patient has been mostly bed-bound since the surgery and has been slow to recover. Today the patient has had five watery bowel movements. Temperature is 38.4 ºC (101.1 ºF), pulse is 108/min, blood pressure is 125/76 mmHg, and SpO₂ is 99% on room air. On physical examination, the patient has dry mucous membranes. There is moderate tenderness to palpation in both lower quadrants of the abdomen. Serum white blood cell count is 18.4/mm³. Urinalysis shows 3-5 white blood cells/hpf and no leukocyte esterase, nitrites, or blood. Which of the following most likely contributed to this patient’s current condition?

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Inadequate offloading of skin pressure points

Presence of indwelling urinary catheter

Administration of broad-spectrum antibiotics

Inadequate use of incentive spirometer

Presence of central venous catheter