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    Med surg proctored exam( neurorenaldiabetic)

    Which of the following is a priority nursing intervention to prevent infection in this patient with AKI?

    Explanation & Rationale

    A. Administer prophylactic antibiotics is incorrect because routine prophylactic antibiotics are not recommended for all patients with AKI. Overuse of antibiotics can lead to antibiotic resistance and unnecessary side effects. Antibiotics are reserved for confirmed or strongly suspected infections, not as a blanket preventive measure. B. Maintain strict aseptic technique during all procedures is correct because patients with AKI are particularly vulnerable to infection. Uremia impairs immune function, reducing the body’s ability to fight off pathogens. Additionally, patients often require frequent invasive procedures, such as urinary catheterization, intravenous lines, dialysis access, and blood draws, all of which are potential entry points for bacteria. Maintaining strict aseptic technique during these procedures is the most effective intervention to prevent infection, minimize sepsis risk, and protect remaining kidney function. C. Encourage deep breathing exercises is incorrect because while this intervention helps prevent pulmonary complications like atelectasis or pneumonia, it does not directly address infection prevention related to AKI or invasive lines. D. Promote ambulation is incorrect because although ambulation enhances circulation, prevents thromboembolic events, and supports overall health, it is not the primary method to prevent infections in AKI patients.

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