What strategy should the nurse design to control nosocomial infections on a geriatric unit?

Using sterile technique when changing surgical dressings is crucial in controlling nosocomial infections, particularly in a geriatric unit where patients may have weakened immune systems and are more susceptible to infections. Maintaining sterile conditions helps prevent the introduction of pathogens into surgical wounds, reducing the risk of surgical site infections which are common in hospital settings. Proper techniques, including the use of gloves, masks, and sanitized instruments, are essential for minimizing contamination and protecting vulnerable patients.

The other strategies, while potentially beneficial in specific scenarios, do not directly address the need for infection control in a broader sense. For example, preventing the admission of clients with influenza may help reduce the spread of that particular virus, but it does not account for the many other ways infections can occur in a hospital. Requiring pneumonia vaccinations before admission is a proactive approach, but it specifically targets one type of infection and may not be feasible for all patients. Encouraging hydration to prevent urinary tract infections is also important, but it is more of a supportive measure rather than a direct infection control strategy. Thus, adhering to strict sterile techniques during procedures is a pivotal action that directly correlates with reducing the incidence of healthcare-associated infections.