A nurse is reinforcing teaching with the family of a client who has methicillin-resistant Staphylococcus aureus (MRSA) of a leg wound and is on contact precautions. Which of the following statements by a family member indicates an understanding of the teaching?
"There is no cure for MRSA.”
"We will need to wear masks when we are in the hospital room."
"MRSA only occurs in health care facilities.”
"We should remove gloves before leaving the hospital room."
The Correct Answer is D
A. "There is no cure for MRSA.": MRSA infections can be treated with specific antibiotics.
B. "We will need to wear masks when we are in the hospital room.": Masks are not necessary for contact precautions unless there is an additional indication, such as droplet precautions.
C. "MRSA only occurs in health care facilities.": MRSA can occur in both community and healthcare settings.
D. "We should remove gloves before leaving the hospital room.": Gloves and gowns must be removed inside the room to prevent contamination of the hospital environment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Encourage three large meals daily.": Smaller, more frequent meals are often better tolerated, especially if the client has nausea or anorexia.
B. "Season foods with spices.": Spices might irritate the gastrointestinal tract, particularly if mucosal lesions are present.
C. "Provide a high-calorie diet.": Clients with AIDS often have increased energy needs due to hypermetabolism and malnutrition; a high-calorie diet helps maintain weight and energy levels.
D. "Administer an antiemetic after each meal.": Antiemetics should be administered before meals to prevent nausea and improve food intake.
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A,B"}}
Explanation
Findings |
Acute compartment syndrome |
Infection |
Fat embolism syndrome |
Dyspnea |
✔ |
||
Increased pain at incision site |
✔ |
✔ |
|
Tingling sensation to right foot |
✔ |
||
Swelling at incision site |
✔ |
✔ |
Dyspnea is a hallmark of fat embolism syndrome due to impaired oxygen exchange.
Increased pain at the incision site can signal both acute compartment syndrome (due to increased pressure) and infection (due to local inflammation).
Tingling sensation to the right foot is a sign of nerve compression related to compartment syndrome.
Swelling at the incision site is consistent with both compartment syndrome (due to tissue pressure) and infection (due to inflammation).
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