A nurse is caring for a client who is newly diagnosed with Parkinson’s disease. The client states, “I have no idea why I got this.” Which of the following is the most important question the nurse should ask this client while performing the assessment?

Choice A Reason:

Contact precautions are recommended for patients with MRSA to prevent the spread of the bacteria. This includes measures such as placing the patient in a single room, using personal protective equipment (PPE) like gowns and gloves, and ensuring proper hand hygiene. These precautions help to minimize the risk of transmission through direct or indirect contact with the patient or their environment.

Choice B Reason:

Protective precautions, also known as reverse isolation, are used to protect immunocompromised patients from infections. This is not applicable for MRSA patients, as the goal is to prevent the spread of MRSA to others, not to protect the patient from external infections.

Choice C Reason:

Airborne precautions are used for diseases that are transmitted through the air, such as tuberculosis or measles. MRSA is not transmitted through airborne particles, so this type of precaution is not appropriate.

Choice D Reason:

Droplet precautions are used for diseases that are spread through large respiratory droplets, such as influenza or pertussis. MRSA is primarily spread through direct contact, not through respiratory droplets, making droplet precautions unnecessary.

Choice A Reason: Crohn’s disease looks like what would appear to be a second-degree burn in the colon and rectum areas only

This description is not accurate for Crohn’s disease. Crohn’s disease can affect any part of the gastrointestinal tract from the mouth to the anus, not just the colon and rectum. Additionally, describing it as a second-degree burn is misleading as it does not accurately represent the nature of the inflammation and ulceration seen in Crohn’s disease.

Choice B Reason: Crohn’s disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract

While this statement is medically accurate, it is not simplistic or non-medical. It uses technical terms like “transmural” and “granulomatous inflammation,” which may be difficult for a client to understand without a medical background. The goal is to provide a description that is easy to comprehend.

Choice C Reason: Crohn’s disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings

This description is more fitting for ulcerative colitis, another type of inflammatory bowel disease. Crohn’s disease is characterized by patchy areas of inflammation that can affect any part of the gastrointestinal tract, not just the colon and rectum. Therefore, this statement does not accurately describe Crohn’s disease.

Choice D Reason: Crohn’s disease has the appearance of a patchwork quilt with some areas that are clear and some with sores

This description is the most simplistic and non-medical. It effectively conveys the nature of Crohn’s disease, which involves patchy areas of inflammation interspersed with healthy tissue, resembling a patchwork quilt. This analogy helps clients visualize the condition without needing to understand complex medical terminology.