A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?
Remove fresh flowers from the client's home.
Wear a mask when within 3 feet of the client.
Encourage the client to use a HEPA filter in the house.
Double bag soiled dressings in polyethylene bags.
The Correct Answer is D
Choice A reason: Removing fresh flowers from the client's home is not an action that the nurse should take when caring for a client who has MRSA. Fresh flowers do not pose a risk of transmitting MRSA, and may provide some psychological benefits for the client.
Choice B reason: Wearing a mask when within 3 feet of the client is not an action that the nurse should take when caring for a client who has MRSA. MRSA is not an airborne infection, and a mask is not necessary to prevent its spread. The nurse should wear gloves and a gown when in contact with the client or the client's environment, and perform hand hygiene before and after the contact.
Choice C reason: Encouraging the client to use a HEPA filter in the house is not an action that the nurse should take when caring for a client who has MRSA. A HEPA filter is not effective in removing MRSA from the air, and may not have any impact on the client's health. The nurse should educate the client on how to clean and disinfect the surfaces and items that may be contaminated with MRSA, such as bedding, towels, and personal items.
Choice D reason: Double bagging soiled dressings in polyethylene bags is an action that the nurse should take when caring for a client who has MRSA. This is a standard precaution to prevent the exposure of other people or the environment to the infectious material. The nurse should also label the bags as biohazardous waste and dispose of them according to the agency's policy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Demographics is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Demographics is the statistical data of a population, such as age, gender, race, or income. The nurse may collect this information for surveillance or research purposes, but it is not essential for the immediate care of the client.
Choice B reason: Household members is the priority information for the community health nurse to obtain from each client, as it is crucial for the prevention and control of tuberculosis. Household members are the people who live with or share the same living space with the client. They are at high risk of being exposed to or infected with tuberculosis, as the disease is spread through respiratory droplets from coughing or sneezing. The nurse should identify and screen the household members for tuberculosis, and provide them with prophylactic antibiotics if needed.
Choice C reason: Occupation is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Occupation is the type of work or profession that the client does. The nurse may collect this information for occupational health or social support purposes, but it is not essential for the immediate care of the client.
Choice D reason: Health history is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Health history is the record of the client's past and present medical conditions, medications, allergies, or surgeries. The nurse may collect this information for diagnosis or management purposes, but it is not essential for the immediate care of the client.
Correct Answer is A
Explanation
Choice A reason: Scheduling bone density screening is an appropriate outcome for the program, as it helps to detect and prevent osteoporosis, a common condition among postmenopausal women. Bone density screening is recommended for women aged 65 years and older, or younger women with risk factors.
Choice B reason: Arranging for mammograms every 3 years is not an appropriate outcome for the program, as it does not follow the current guidelines for breast cancer screening. The American Cancer Society recommends that women aged 45 to 54 years should have mammograms every year, and women aged 55 years and older should have mammograms every 2 years, or continue yearly screening if they prefer.
Choice C reason: Starting hormone replacement therapy is not an appropriate outcome for the program, as it is not a universal recommendation for postmenopausal women. Hormone replacement therapy may have benefits and risks depending on the individual's health history, symptoms, and preferences. It should be discussed with a health care provider before starting.
Choice D reason: Significantly decreasing caloric intake is not an appropriate outcome for the program, as it may lead to nutritional deficiencies and other health problems. Postmenopausal women should maintain a balanced diet that meets their nutritional needs and supports their weight management. A moderate reduction in caloric intake may be advised for overweight or obese women, but not a drastic one.
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