A home health nurse is caring for a client who has methicillin-resistant Staphylococcus Aureus.
Which of the following actions should the nurse take?
Double-bag soiled dressings in polyethylene bags.
Remove fresh flowers from the client's home.
Encourage the client to use a HEPA filter in the house.
Wear a mask when within 3 feet of the client.
The Correct Answer is A
Choice A, This action is crucial for preventing the spread of MRSA, which is commonly found in wounds and can be transmitted through contact with contaminated dressings. Double-bagging ensures that the contaminated material is securely contained, reducing the risk of transmission.
Choice B, Removing fresh flowers is a general precaution often taken in hospital settings to reduce the risk of infections for immunocompromised patients. However, it is not specifically necessary for managing MRSA in a home environment unless the client has a significantly weakened immune system and is at risk for opportunistic infections..
Choice C, HEPA filters are used to improve air quality by removing particulates, allergens, and some pathogens. However, MRSA is typically spread through direct contact or contaminated surfaces, not through the air, so this measure is not specifically effective for MRSA prevention.
Choice D, MRSA is primarily spread through direct contact with infected wounds or contaminated surfaces, rather than through respiratory droplets. Therefore, wearing a mask within 3 feet of the client is not typically required for MRSA unless the client has a respiratory infection with MRSA. The focus should be on contact precautions rather than droplet precautions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Reviewing how the staff implements the plan during a hands-on practice drill is the most comprehensive method for the nurse to use to determine the effectiveness of the disaster plan. This allows the nurse to observe how well the staff understands and follows the plan in a simulated disaster situation.
Choice B is not the best answer because using inservices to have the staff discuss various disaster scenarios does not provide a comprehensive evaluation of the effectiveness of the plan.
Choice C is not the best answer because testing staff to determine their knowledge of the principles of the plan only assesses their theoretical understanding and does not evaluate their ability to implement the plan in practice.
Choice D is not the best answer because analyzing findings from a facility tabletop disaster simulation only provides a limited evaluation of the effectiveness of the plan.
Correct Answer is A
Explanation
In a suspected or confirmed bioterrorism event, the nurse should don personal protective equipment to protect themselves from potential exposure 1.
Choice B is incorrect because disinfecting contaminated areas of skin with isopropyl alcohol may not be sufficient to protect against a bioterrorism-related illness.
Choice C is incorrect because while reporting the client’s condition to the appropriate authorities is important, the Federal Bureau of Investigation may not be the appropriate agency to report to in this situation.
The nurse should report the client’s condition to local and state health departments 1.
Choice D is incorrect because while moving the client to a quarantine area may be necessary in some situations, it is not necessarily the first action that should be taken.
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