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Droplet precautions are used for pathogens that are spread through respiratory droplets, which is not applicable to MRSA.

Protective equipment is typically used for immunocompromised patients to prevent infections, but it is not the standard for MRSA.

Airborne precautions are necessary for diseases that spread through airborne particles, which does not include MRSA.

Attaching the NG tube to low intermittent suction is not recommended during gastric lavage, as suctioning can remove the lavage solution before it has a chance to work effectively.

Chilled lavage solution should not be used; it is recommended to use room temperature or warmed solution to avoid discomfort and potential complications such as cramping.

While 0.9% sodium chloride is isotonic and can be used for irrigation, it is not typically the solution used for gastric lavage; water or a specific lavage solution is more appropriate.

Hypotension is not a common adverse effect of estradiol; instead, it may cause hypertension.

Headaches are a common side effect of estradiol but are usually not severe; they typically do not require reporting unless they are persistent or severe.

Oliguria is not a known adverse effect of estradiol and may indicate other underlying issues that are unrelated to this medication.

Surgical asepsis (sterile technique) should be used for suctioning to prevent infection, not medical asepsis.

Advancing the catheter 2 cm after resistance is met is not advised; the catheter should not be forced beyond resistance to avoid injury.

The catheter should not be withdrawn if the client begins coughing; instead, it indicates the need for suctioning. If coughing occurs, the nurse should ensure the patient can breathe and may need to suction carefully.

While assessing pain level is important for comfort management, it is not the highest priority in the immediate postpartum period.

Although urinary output is important to monitor for bladder distension, it does not take precedence over bleeding assessment.

Fundal height assessment is necessary to ensure the uterus is contracting effectively, but again, it is secondary to monitoring for bleeding.

While restricting visits from young children may help reduce infection risk, it is not a sufficient or specific intervention for neutropenic precautions.

Measuring temperature should occur more frequently than every 8 hours, ideally every 4 hours or more, to quickly identify fever, a sign of infection.

Disposable gloves should be used from within the client's room to maintain strict infection control measures; using gloves from outside could introduce contaminants.

Urine output of 120 mL in 4 hours is within acceptable limits, especially following anesthesia. Normal output can vary, but 30 mL/hr is often used as a guideline.

A systolic blood pressure that is only 12 mm Hg lower than preoperative levels may be concerning, but it does not necessarily require immediate reporting unless other symptoms are present.

An occasional premature ventricular contraction (PVC) can be common postoperatively and may not necessitate reporting unless accompanied by significant symptoms or changes in hemodynamic status.

Providing interpretation services over the telephone is not effective for clients with hearing loss who may benefit more from in-person or visual communication.

Exaggerated lip movements can be distracting and may not aid understanding; clear and natural speech is more effective.

While providing written materials is helpful, ensuring the client can understand the material is key; using an appropriate reading level is essential but secondary to direct communication strategies.

Sitting with their head in their hands and appearing to cry indicates emotional distress rather than aggression or potential violence.

While expressing discontent with staff may show frustration, it does not directly indicate imminent violence.

Taking numerous, deep breaths may suggest the client is attempting to calm themselves and is not a reliable indicator of potential aggression.

Dietary salt restriction is challenging but is a specific intervention that can be managed with education and support.

The absence of symptoms can significantly hinder compliance because clients may not perceive the need to adhere to a treatment plan if they do not feel unwell. This perception can lead to underestimating the importance of managing their blood pressure.

The addition of a new medication may pose some challenges, but clients often adapt to new medications with proper guidance.