Progressive Care Nursing Certification (PCCN) Practice Exam

In managing a post-operative patient, which intervention is critical for preventing infection?

1. Pain management

2. Effective glycemic control

3. Early mobilization

4. Antibiotic prophylaxis

The correct answer is: Effective glycemic control

Effective glycemic control is critical for preventing infection in a post-operative patient due to its impact on wound healing and the immune response. High blood glucose levels can impair the function of white blood cells, which are essential for fighting off infections. Additionally, hyperglycemia can contribute to a more favorable environment for the growth of pathogens, increasing the risk of post-operative infections. In surgical patients, maintaining blood glucose within the normal range is particularly important, as it has been shown to reduce the risk of surgical-site infections. Therefore, ensuring that a patient’s blood glucose levels are well-controlled through appropriate medication and monitoring can significantly lower the risk of complications associated with infection. Other interventions, while important for overall recovery and comfort, do not have the same direct influence on infection prevention. For instance, pain management is crucial for patient comfort and can facilitate better mobility, but it does not specifically target infection risk. Early mobilization helps reduce complications such as venous thromboembolism and promotes overall recovery, but again, it doesn’t directly prevent infection. Antibiotic prophylaxis is also important in reducing infection risk, particularly in certain surgical procedures, but effective glycemic control plays a pivotal role in enhancing the body’s ability to fight off infection after surgery.