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 D
Explanation
This statement suggests that the client may have a problem with their peripheral vision or neck mobility, which should be assessed further by the nurse.
Choice A, “Prepare my medications for the week on Sundays,” is not a cause for concern as it shows that the client is organized and proactive in managing their medications.
Choice B, “Prepare all of my own meals,” is also not a cause for concern as it shows that the client is independent and capable of taking care of their nutritional needs.
Choice C, “Need to change my hearing aid battery weekly,” is not a cause for concern as it is a routine maintenance task for those who use hearing aids.
Correct Answer is C
Explanation
An adolescent who has scoliosis should be recognized as the highest priority because scoliosis can progress rapidly during growth spurts and can lead to long-term health problems if left untreated.
Choice A is incorrect because while psoriasis may require medical attention, it is not necessarily a high-priority condition.
Choice B is incorrect because a BMI of 18 falls within the normal range for children and adolescents and does not necessarily indicate a health concern.
Choice D is incorrect because while nits may indicate a lice infestation, it is not necessarily a high-priority condition.
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