A Patient Has a Nursing Diagnosis of Infection, Related to Inadequate

Multiple Choice

A patient has a nursing diagnosis of Infection, related to inadequate primary defenses, as evidenced by surgical incision and intravenous (IV) line access. An appropriate nursing intervention for this patient is to:

A) assess and document skin condition around the incision and IV site at each shift.
B) limit visitors to immediate family to decrease exposure to infection.
C) require the use of a facemask by nursing staff when they are providing care.
D) maintain "clean" technique in the change of wound dressing and IV site.