A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse Indicates an understanding of the teaching?

"I will remove my gown before my gloves after providing client care."

"I will place the client in a private room."

"I will tell the client's visitors to wear a mask when they are within 3 feet of the client."

"I will wear an N95 respirator mask when caring for the client."

Answer and Explanation

The Correct Answer is B

MRSA is a highly contagious infection that can spread through direct contact or through contaminated surfaces. Placing the client in a private room helps minimize the risk of spreading

the infection to other patients or healthcare providers. This measure is known as "contact precautions" and is a standard practice for managing MRSA infections.

When removing personal protective equipment (PPE) after caring for a client with MRSA, it is important to remove the gloves first, followed by the gown. This sequence helps prevent contamination of the hands.

While it is generally important for visitors to practice good hand hygiene, wearing a mask when they are within 3 feet of the client may not be necessary unless they are providing direct care and are in close proximity to the client's respiratory secretions.

The use of N95 respirator masks is primarily indicated for airborne precautions, such as in cases of tuberculosis. For MRSA, the primary mode of transmission is through direct contact or contaminated surfaces, so standard precautions and appropriate hand hygiene are the key preventive measures.

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Correct Answer is C

No explanation

A. Assisting with ambulation for a client who has a pulmonary infection B. Inserting a glycerin suppository for a client who is constipated C. Irrigating a client's infected surgical wound D. Showing a client how to use an incentive spirometer prior to surgery

Correct Answer is A

Explanation

Assistive personnel can provide valuable assistance in ambulating clients who have mobility limitations. Assisting a client with ambulation involves helping them move and walk safely, which can aid in improving their lung function and overall pulmonary status. This task typically does not require specialized medical training and can be safely delegated to assistive personnel. Inserting a glycerin suppository for a constipated client requires knowledge of proper insertion technique, potential complications, and the ability to assess the client's response to the intervention. This task is typically performed by licensed nurses.

Irrigating a client's infected surgical wound involves an aseptic technique, knowledge of wound care principles, and the ability to assess the wound for signs of infection or complications. This task is typically performed by licensed nurses or wound care specialists.

Showing a client how to use an incentive spirometer prior to surgery requires knowledge of respiratory physiology, proper technique, and the ability to assess and instruct the client effectively. This task is typically performed by licensed nurses or respiratory therapists.

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A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse Indicates an understanding of the teaching?

Nursing Test Bank

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