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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A potassium level of 5.8 mEq/L is above the normal range (typically 3.5-5.0 mEq/L), indicating hyperkalemia. Hyperkalemia can have serious implications for the client's cardiac function and requires medical intervention. The nurse should notify the healthcare provider promptly so that appropriate actions can be taken to address the high potassium level.
Correct Answer is A
Explanation
The contemplation stage is characterized by the client's acknowledgment of the need for change but having mixed feelings and ambivalence about making the actual change. During this stage, the nurse should provide information and education to the client about the benefits of quitting smoking. This can include discussing the health risks associated with smoking, such as increased risk of cardiovascular diseases, respiratory problems, and certain types of cancer.
Presenting this information can help the client gain a better understanding of the positive impact quitting smoking can have on their health and well-being.
Developing a plan for the client to integrate the change into her lifestyle is more suitable for the preparation stage, where the client is actively planning and preparing to make the behavior change. During the contemplation stage, the client is not yet ready for detailed planning, but rather exploring their feelings and concerns about the behavior change.
Making small changes over time is more aligned with the action stage, where the client is actively making changes to their behavior. In the contemplation stage, the client is not yet ready for making immediate changes and is still weighing the pros and cons of quitting smoking.
Setting goals is more appropriate for the preparation stage, where the client is actively preparing to make the behavior change. During the contemplation stage, the client is still considering the change and may not be ready to set specific goals.
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