What type of preparation should Mary anticipate for this invasive procedure?

Case Study – Infection Control
Jane Martin, a 75-year-old widow, is admitted to the hospital for treatment of a postoperative infection of her left knee. She had total knee replacement surgery 3 weeks ago and went to her orthopedic surgeon with a complaint of pain, redness, and swelling in the operative joint. The incision is draining a purulent drainage. Her vital signs are blood pressure, 130/80 mm Hg; temperature, 101° F orally; pulse, 108 beats/min; and respirations, 18 breaths/min. She rates the pain in her left knee as a 6 on a scale from 1 to 10. Mrs. Martin has type 2 diabetes and has controlled her disease with oral antihyperglycemic agents. She has not had much of an appetite since her surgery and has lost 4 lb. Mary, a senior student nurse, is assigned to begin admitting Mrs. Martin.
1. Mary knows that the most important way to prevent infection is how?
2. The surgeon has ordered that Mrs. Martin be placed in isolation. Which type of isolation is most appropriate, and what precautions are included in this type of isolation?
3. Mrs. Martin asks Mary why some of the staff members wash their hands at the sink and others just wipe their hands with the stuff in the container. How should Mary respond so that Mrs. Martin knows when it is appropriate to not wash hands with soap and water?
4. Mrs. Martin’s physician has decided to put in a peripherally inserted central catheter (PICC) line so she can receive intravenous antibiotics for 3 weeks. What type of preparation should Mary anticipate for this invasive procedure?
5. Mrs. Martin’s son visits her and asks Mary what could have contributed to his mother getting an infection. Mary bases her answer on knowing that Mrs. Martin has a higher risk for developing an infection. What factors make Mrs. Martin more susceptible to infection? (Select all that apply.)
a. Gender
b. Age
c. Poor nutrition
d. Low blood sugar
e. Stress

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