A charge nurse is teaching a group of unit nurses about the policy for clients who have a history of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following information should the nurse include?

A client who has a history of MRSA will need antibiotics.

A client who has a history of MRSA can develop immunity to the infection.

A client who has a history of MRSA requires a protective environment.

A client who has a history of MRSA can still transmit the infection.

Answer and Explanation

The Correct Answer is D

A.   Not all clients with a history of MRSA will require antibiotics. Treatment depends on the presence of active infection, colonization, and other clinical factors.
B.   There is no evidence to suggest that individuals can develop immunity to MRSA. MRSA remains a significant pathogen, and individuals with a history of MRSA remain susceptible to reinfection or colonization.
C.   A protective environment is not typically required for clients with a history of MRSA. Standard precautions, including hand hygiene and appropriate use of personal protective equipment, are sufficient to prevent transmission.

D.   Clients with a history of MRSA can still carry the bacteria on their skin or in their nasal passages and may transmit the infection to others, especially in healthcare settings. Therefore, it is important to adhere to infection control practices to prevent transmission.

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Correct Answer is C

Explanation

A. Arterial blood gases - Arterial blood gases are not typically assessed before initiating lithium carbonate therapy.

B. Total cholesterol - Total cholesterol levels are not specifically relevant to monitoring lithium therapy.

C. Thyroid hormones - Thyroid function should be assessed before initiating lithium therapy because lithium can affect thyroid function, potentially leading to hypothyroidism.

D. Hemoglobin - While hemoglobin levels may be monitored during lithium therapy, they are not typically assessed prior to initiating treatment.

A. Work with the client to create a flexible daily schedule. B. Gradually decrease the time allowed for ritualistic behavior. C. Offer solutions to assist in problem-solving. D. Teach the client to meditate about obsessive thoughts.

Correct Answer is B

Explanation

A. While creating a flexible daily schedule may be helpful, it does not directly address the core symptoms of OCD.

B. Gradually decreasing the time allowed for ritualistic behavior is a common technique used in exposure and response prevention therapy, which is an evidence-based treatment for OCD.

C. Offering solutions for problem-solving may be helpful in general, but it may not directly address the specific symptoms of OCD.

D. While meditation can be beneficial for managing stress and anxiety, it may not specifically address the compulsive thoughts and behaviors characteristic of OCD.

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A charge nurse is teaching a group of unit nurses about the policy for clients who have a history of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering the first dose, which of the following laboratory values should the nurse evaluate?

Correct Answer is C

Explanation

A nurse in a residential mental health facility is planning care for a new client who has obsessive-compulsive disorder (OCD). Which of the following is appropriate for the nurse to include in the plan of care?

Correct Answer is B

Explanation

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