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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A consultant is someone who provides expert advice or guidance on a specific topic or problem. A nurse case manager may act as a consultant when collaborating with other health care professionals or community agencies, but not when arranging for the delivery of medical equipment to the client's home.
Choice B reason: A systems allocator is someone who distributes or allocates resources or services within a system or organization. A nurse case manager may act as a systems allocator when managing the cost and quality of care for a client, but not when arranging for the delivery of medical equipment to the client's home.
Choice C reason: An advocate is someone who supports or defends the rights or interests of another person or group. A nurse case manager may act as an advocate when promoting the client's autonomy, dignity, and well-being, but not when arranging for the delivery of medical equipment to the client's home.
Choice D reason: A coordinator is someone who organizes or facilitates the activities or interactions of different people or groups. A nurse case manager acts as a coordinator when arranging for the delivery of medical equipment to the client's home, as this involves coordinating with the client, the provider, the supplier, and the insurance company.
Correct Answer is D
Explanation
Choice A reason: Implementing a disaster triage plan with a local medical facility is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster response efforts, which are the actions taken during or immediately after a disaster to save lives, minimize injuries, and protect property.
Choice B reason: Functioning as a manager at a temporary shelter is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster recovery efforts, which are the actions taken after a disaster to restore the normal functioning of the community and the environment.
Choice C reason: Assisting with the identification of a biological agent is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster mitigation efforts, which are the actions taken before, during, or after a disaster to reduce or eliminate its impact.
Choice D reason: Organizing a mass casualty drill for community members is an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster prevention efforts, which are the actions taken before a disaster to prevent or minimize its occurrence or effects. A mass casualty drill is a simulation exercise that tests the readiness and capacity of the health care system and the community to respond to a large-scale emergency.
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