NCLEX Question Help

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Hello everyone, so me and my friends were wondering about how choice d can also be the right answer. All of the answers are right and make sense to us except d.

Which of the following would be considered a hospital acquired

infection? Select all that apply:

a. Surgical site wound infection that develops 3 days

following hospital discharge

b. Ventilator-associated pneumonia in a skilled nursing

facility

c. Infection of a hemodialysis line in a person residing

at home

d. Gunshot wound in a jail prisoner

Thanks in advance!

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Specializes in Complex pedi to LTC/SA & now a manager.

Well for one, D is not an infection but a traumatic injury....

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That's why it doesn't make sense. But the textbook says that all of them are correct. So how is a gun shot wound a hospital acquired infection?

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Specializes in Complex pedi to LTC/SA & now a manager.

It's not. Even texts have errors unless a word is missing. There is no infection with gunshot trauma. There is risk for with any trauma but not a guarantee

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
That's why it doesn't make sense. But the textbook says that all of them are correct. So how is a gun shot wound a hospital acquired infection?

It's not....they are wounds that are historically have a high incidence of infection as they are dirty penetrating wounds.

Is it automatically HAI no.

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that is really ODD, unless they are speaking of the "doctors" office in the jail setting?

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Specializes in Emergency, Telemetry, Transplant.

For the record C might not be either…the currently used term is "health care acquired infection." I have seen a few dialysis caths that have a very ugly (or no) dressing on them…likely not heath care acquired.

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This question was also on my quiz for class, since I already practiced and saw the answers, I put all of the above and I got a 100. So even the professor thought it was correct, which is weird.

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that is really ODD, unless they are speaking of the "doctors" office in the jail setting?

That's the only case in which it makes sense ... But it's a weird NCLEX question ....

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