A clinical nurse educator is preparing an educational program about transmission of methicillin-resistant Staphylococcus aureus (MRSA) in hospitalized clients. Which of the following information should the nurse include in the program?
MRSA can be effectively treated with an antiviral medication.
Place clients who have MRSA on airborne precautions.
MRSA can live on the hands for 1 hr.
Bathe clients with water and chlorhexidine gluconate
The Correct Answer is D
A. MRSA can be effectively treated with an antiviral medication: MRSA is a bacterial infection caused by a strain of Staphylococcus aureus resistant to many antibiotics. Antivirals are ineffective against bacteria.
B. Place clients who have MRSA on airborne precautions: MRSA is primarily spread through direct contact and contaminated surfaces, not through airborne transmission. Therefore, contact precautions, including gown and gloves, are appropriate, not airborne isolation.
C. MRSA can live on the hands for 1 hr: MRSA can survive on hands and surfaces for much longer than one hour, sometimes for days. This timeframe may underestimate the risk of transmission and reduce vigilance in hand hygiene.
D. Bathe clients with water and chlorhexidine gluconate: Daily bathing with chlorhexidine reduces bacterial colonization on the skin and lowers the risk of MRSA transmission in healthcare settings.
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Related Questions
Correct Answer is C
Explanation
A. "A client's address would be an example of personally identifiable information.": A client’s address is considered protected health information because it can be used to identify the individual. Recognizing this aligns with HIPAA requirements for confidentiality.
B. "HIPAA is a federal law, not a state law.": HIPAA is indeed a federal law that sets national standards for the protection of health information, distinguishing it from state-specific regulations.
C. "Information about a client can be disclosed to family members at any time.": Disclosure to family members is restricted and only permitted when the client consents or in specific circumstances defined by HIPAA. This statement indicates a misunderstanding of privacy rules and requires further teaching.
D. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form.": HIPAA protects all forms of individually identifiable health information, and understanding this scope is essential for compliance in all healthcare settings.
Correct Answer is A
Explanation
A. They advance both crutches forward, then the unaffected leg: The three-point gait requires moving both crutches simultaneously followed by the unaffected leg, keeping the affected leg non-weight-bearing. Correct execution of this sequence demonstrates proper mastery and safe mobility with crutches.
B. They keep the affected leg slightly touching the ground for balance: Allowing the affected leg to bear weight defeats the purpose of the non-weight-bearing technique and can increase the risk of injury. Proper three-point gait keeps the affected leg off the ground entirely.
C. They alternate weight between both feet and crutches: Alternating weight between both feet and crutches describes a two-point or four-point gait, not the three-point gait. This indicates a misunderstanding of the prescribed technique.
D. They lean forward while advancing the affected leg: Leaning forward while moving the affected leg can cause instability and falls. Proper technique requires keeping the trunk upright and weight supported through the crutches.
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