An emergency room charge nurse receives a call regarding a mass casualty event near the hospital and is asked to prepare as many beds as possible for incoming injured clients. Which of the following existing clients should the nurse prepare for discharge?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. The client post suture placement for a minor leg laceration is stable and does not require immediate medical attention. 2. Discharging this client would free up a bed for incoming injured clients from the mass casualty event. 3. This decision ensures that resources are prioritized for those in critical need during the emergency situation. Summary: A: Urinary tract infection requires ongoing treatment, not suitable for immediate discharge during a mass casualty event preparation. B: COPD with dyspnea may deteriorate rapidly, needing constant monitoring and care, not suitable for discharge. C: New onset heart palpitations could indicate a serious cardiac issue, necessitating further evaluation, not suitable for discharge.

Correct Answer: C

Rationale: Step 1: An infection is caused by pathogens (such as bacteria, viruses, fungi) invading the body. Step 2: These pathogens disrupt the normal functions of the body, leading to illness. Step 3: Infection can result in a variety of diseases, from minor to severe. Step 4: Choice C accurately defines infection as a disease resulting from pathogens in or on the body. Summary: A: Incorrect - An unclean environment may contribute to infection, but it does not define infection itself. B: Incorrect - Lack of knowledge about food preparation may lead to foodborne illnesses, not necessarily infections. D: Incorrect - Traumatic injury can lead to infections, but not all infections are a result of traumatic injury.

Correct Answer: D

Rationale: The correct answer is D: Airborne route. In this scenario, the most likely means of transmission is through the air, as the woman is coughing and sneezing. Respiratory droplets containing the infectious agents can be inhaled by the man, leading to potential infection. Direct contact (choice A) involves physical touching, which is not evident in the situation. Indirect contact (choice B) would involve touching contaminated surfaces, which is less likely with airborne infections. Vectors (choice C) refer to organisms that transmit diseases, like mosquitoes, which are not relevant to this case. Therefore, the airborne route is the most plausible means of transmission in this context.

Correct Answer: B

Rationale: The correct answer is B: Prodromal stage. During this stage, the student experiences early symptoms like fever and fatigue, and viral shedding is high, making them most infectious. In contrast, during the incubation period (A), the virus is replicating but symptoms are not yet present. In the full stage of illness (C), symptoms are pronounced but infectiousness may decrease. In the convalescent period (D), the student is recovering and viral shedding decreases, reducing infectivity.

Correct Answer: A

Rationale: The correct answer is A: Nosocomial. A nosocomial infection is an infection acquired in a healthcare setting, such as a hospital. In this case, the client contracted MRSA during her hospital stay for hip replacement surgery. MRSA is a type of bacteria that is resistant to certain antibiotics and is commonly found in healthcare settings. Explanation: A: Nosocomial - Correct. MRSA infection acquired in the hospital setting. B: Viral - Incorrect. MRSA is a bacterial infection, not viral. C: Iatrogenic - Incorrect. Iatrogenic refers to illnesses caused by medical treatment. D: Antimicrobial - Incorrect. Antimicrobial refers to substances that kill or inhibit the growth of microorganisms, not a type of infection.