Question

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summary. in reviewing the infection control data, it was found that this year there was a 12% increase
rate. this has led to an increase in rehospitalization and extended stays and has also increased the co
cases. the infection control nurse states that the policy and procedures on dressing changes to central
updated in ten years. they suggest making a practice change to a more updated protocol based on cu
from infected central lines were positive for methicillin resistant staphylococcus areus.
identify the possible causes of the infection rate. select all that apply.
central line dressing change performed per policy
contamination during dressing change
poor hand hygiene
contamination by the client
frequency of dressing change completed per policy

Explanation:

• "Central line dressing change performed per policy" follows policy, so it's not a cause of increased infection.
• "Contamination during dressing change" can introduce pathogens, increasing infection risk.
• "Poor hand hygiene" by staff can transfer germs, leading to infections.
• "Contamination by the client" (e.g., skin flora, improper self - care) can contaminate central lines.
• "Frequency of dressing change completed per policy" follows policy, so it's not a cause.

Answer:

B. Contamination during dressing change, C. Poor hand hygiene, D. Contamination by the client