A home health nurse is caring for a client who has methicillin-resistant Staphylococcus Aureus.
Which of the following actions should the nurse take?
Double-bag soiled dressings in polyethylene bags.
Remove fresh flowers from the client's home.
Encourage the client to use a HEPA filter in the house.
Wear a mask when within 3 feet of the client.
The Correct Answer is A
Choice A, This action is crucial for preventing the spread of MRSA, which is commonly found in wounds and can be transmitted through contact with contaminated dressings. Double-bagging ensures that the contaminated material is securely contained, reducing the risk of transmission.
Choice B, Removing fresh flowers is a general precaution often taken in hospital settings to reduce the risk of infections for immunocompromised patients. However, it is not specifically necessary for managing MRSA in a home environment unless the client has a significantly weakened immune system and is at risk for opportunistic infections..
Choice C, HEPA filters are used to improve air quality by removing particulates, allergens, and some pathogens. However, MRSA is typically spread through direct contact or contaminated surfaces, not through the air, so this measure is not specifically effective for MRSA prevention.
Choice D, MRSA is primarily spread through direct contact with infected wounds or contaminated surfaces, rather than through respiratory droplets. Therefore, wearing a mask within 3 feet of the client is not typically required for MRSA unless the client has a respiratory infection with MRSA. The focus should be on contact precautions rather than droplet precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Postmenopausal women are at an increased risk for osteoporosis due to the loss of estrogen in their body 1. Scheduling bone density screenings can help detect and manage this condition.
Choice A is not correct because decreasing caloric intake alone may not address the health needs of postmenopausal women.
Choice B is not correct because hormone replacement therapy may not be appropriate for all postmenopausal women and should be discussed with a healthcare provider.
Choice D is not correct because mammograms are recommended every 1-2 years for women over 50, not every 3 years.
Correct Answer is D
Explanation
Before developing a health-screening program for clients who are at risk for hypertension, the nurse should first assess the community’s need for such a program. Conducting a survey to identify the community’s need for hypertension screening is an important first step in this process.
Choice A is not the answer because determining the number of clients referred for treatment of hypertension is not the first step in developing a health screening program.
Choice B is not the answer because researching best practices for the treatment of hypertension is not the first step in developing a health-screening program.
Choice C is not the answer because applying for funding to conduct hypertension screening is not the first step in developing a health-screening program.
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