A nurse is assisting with the admission of a client who has a new diagnosis of Methicillin- Resistant Staphylococcus aureus (MRSA). The nurse should plan to place the client in which of the following types of transmission-based precautions?
Droplet
Contact
Protective
Airborne
The Correct Answer is B
A. Droplet: Droplet precautions are used for diseases transmitted by large droplets expelled during coughing, sneezing, or talking, such as influenza or pertussis.
B. Contact: Contact precautions are used for diseases transmitted by direct contact with the
patient or indirect contact with contaminated objects or surfaces, such as MRSA or Clostridium difficile (C. diff).
C. Protective: Protective precautions are not a standard category of transmission-based precautions. It is not applicable in this context.
D. Airborne: Airborne precautions are used for diseases transmitted by small particles suspended in the air, such as tuberculosis or measles.
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Related Questions
Correct Answer is D
Explanation
A. Povidone-iodine: Povidone-iodine is an antiseptic agent used for skin disinfection but is not recommended for routine hand hygiene, especially in cases of Clostridium difficile infection.
B. Alcohol-based antiseptic: While alcohol-based hand sanitizers are effective for most routine hand hygiene situations, they may not be sufficient for removing spores of Clostridium difficile. Soap and water are preferred for hand hygiene in cases of C. difficile infection.
C. Chlorhexidine: Chlorhexidine is an antiseptic agent commonly used for skin disinfection, but like alcohol-based hand sanitizers, it may not effectively remove C. difficile spores. Soap and water are preferred.
D. Soap and water: Soap and water are recommended for hand hygiene in cases of Clostridium difficile infection because mechanical friction from hand washing helps physically remove
spores from the hands.
Correct Answer is ["B","D","E"]
Explanation
A. Hypoglycemic: Hypoglycemia is not typically considered a sign or symptom of sepsis. In sepsis, blood glucose levels may fluctuate, but hypoglycemia is less common.
B. Elevated White Blood Count: An elevated white blood count (leukocytosis) is a common sign of sepsis, indicating the body's immune response to infection.
C. Pruritus: Pruritus, or itching, is not typically associated with sepsis. Itching may occur in certain skin conditions or allergic reactions but is not a hallmark sign of sepsis.
D. Hypotension: Hypotension, or low blood pressure, is a serious sign of sepsis and can indicate septic shock, a life-threatening complication.
E. Altered Mental Status: Altered mental status, such as confusion, disorientation, or decreased level of consciousness, can occur in sepsis due to systemic inflammation and impaired perfusion to the brain.
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