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."
"I will wear an N95 respirator mask when caring for the client."
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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Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. "I will apply tape over frayed areas of electrical cords.":Tape should not be used on frayed electrical cords. This can be a fire hazard. Frayed cords should be replaced immediately to avoid electrical fires or shocks.
B. "I need to check my medications for expiration dates.":Checking medication expiration dates is a key part of home safety. Expired medications can be ineffective or potentially harmful, so clients should regularly check their medications and dispose of expired ones properly.
C. "I need to set my hot water heater to 140 degrees Fahrenheit.":The water heater should be set to 120 degrees Fahrenheit to prevent scalding. A temperature of 140 degrees can increase the risk of burns, especially for older adults or those with reduced sensitivity to temperature.
D. "I will use the grab bars when getting in and out of the bathtub.":Grab bars in the bathroom provide stability and prevent falls when getting in or out of the bathtub, which is a high-risk area for injury. This is a great safety measure to reduce the risk of falls.
E. "I need to have a fire escape plan with my family.":Having a fire escape plan is an essential part of home safety. It's important for all family members to know how to exit the house safely in case of an emergency, including designated meeting points.
Correct Answer is A
Explanation
When using restraints for the safety of the client and others, it is important to follow proper procedures to ensure the client's well-being and minimize the risk of injury. Removing one restraint at a time allows for better control and assessment of the client's behavior and response. It also helps maintain the client's safety by ensuring that at least one limb is restrained during the process.
Restraints should never be tied to the side rail as it can cause serious harm or injury to the client. Restraints should be attached to an immobilization device specifically designed for that purpose, such as a bed frame or a designated restraint chair.
Restraints should be secured with a quick-release mechanism, such as a buckle or Velcro, that allows for quick and easy removal in case of emergency or the need for rapid intervention. Tying restraints with a square knot can delay the removal process and may compromise the client's safety.
Restraints should only be used when necessary and as prescribed by the healthcare provider. The frequency and duration of restraint use should be based on the client's condition and the specific order from the healthcare provider. It is not appropriate to remove restraints based solely on a time schedule without considering the client's individual needs and safety. Regular assessments should be conducted to determine if continued use of restraints is required or if alternative interventions can be implemented.
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