While caring for a client after a small bowel resection, the nurse is informed that the client has a history of methicillin-resistant Staphylococcus aureus (MRSA). To reduce the risk of recurrence of the MRSA in the postoperative wound, which intervention is most important for the nurse to implement?

Report any increase in the white blood cell count.

Instruct the family to adhere to contact precautions.

Change the surgical dressing readily when soiled.

Wear a face mask while performing wound care.

Answer and Explanation

The Correct Answer is B

MRSA is a highly contagious bacteria that can easily spread from person to person through direct contact or contact with contaminated surfaces. By instructing the family to adhere to contact precautions, the nurse can help prevent the spread of MRSA to the client's postoperative wound. Contact precautions typically involve wearing gloves and a gown when in direct contact with the client or the client's immediate environment.

While reporting any increase in the white blood cell count, changing the surgical dressing when soiled, and wearing a face mask during wound care are all important aspects of postoperative care, they are not specifically targeted at preventing the recurrence of MRSA. Adhering to contact precautions is the most effective measure to prevent the spread of MRSA and protect the client from further infection.

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Correct Answer is ["40"]

Explanation

To determine the amount of mL the child should receive per day, we need to calculate the total daily dose of ampicillin based on the prescription.

The prescription is for 500 mg of ampicillin four times a day, so the total daily dose is: 500 mg × 4 times = 2000 mg/day

The concentration of the suspension is 250 mg/5 mL, which means that there are 250 mg of ampicillin in every 5 mL.

To find out how many mL the child should receive per day, we divide the total daily dose by the concentration:

2000 mg ÷ 250 mg/5 mL = 40 mL/day

Therefore, the child should receive 40 mL of the ampicillin suspension per day.

A. Red blood cell count (RBC). B. Core body temperature. C. Swollen lymph nodes in the groin. D. Location of the initial intravenous (IV) site. E. White blood cell count (WBC).

Correct Answer is ["B","C","E"]

Explanation

A) Incorrect - Red blood cell count (RBC) is not directly relevant to the assessment of infection and its spread.
B) Correct- Core body temperature can be an indicator of systemic infection and needs to be reported to the healthcare provider for assessment and intervention.
C) Correct- Swollen lymph nodes in the groin suggest local and regional lymphatic involvement, indicating possible spread of infection. This finding needs further assessment and intervention.
D) Incorrect - The location of the initial intravenous (IV) site is not directly relevant to the assessment of infection and its spread.
E) Correct- An elevated white blood cell count (WBC) can indicate an inflammatory response to infection. This finding should be reported to the healthcare provider for further evaluation and treatment.

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer a suspension ampicillin labeled, 250 mg/5 mL, to a child with impetigo. The prescription is for 500 mg four times a day. How many mL should the child receive per day? (Enter numeric value only.)

Correct Answer is ["40"]

Explanation

After a spider bite on the lower extremity, a client is admitted for treatment of an infection that is spreading up the leg. Which admission assessment finding(s) should the nurse report to the healthcare provider? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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When planning care for an adolescent with anorexia nervosa, which nursing problem has the highest priority?

The nurse-manager is involved in agency restructuring. During this re-engineering process, it is most important for the nurse to address which employee concern?

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