A nurse is caring for a patient who has undergone a small bowel resection and has a history of methicillin-resistant Staphylococcus aureus (MRSA).

Which nursing intervention is most crucial to minimize the risk of a MRSA recurrence in the postoperative wound?

Change the surgical dressing promptly when it becomes soiled.

Monitor for any increase in the white blood cell count.

Educate the family on the importance of adhering to contact precautions.

Always wear a face mask while performing wound care.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Changing the surgical dressing promptly when it becomes soiled is crucial to minimize the risk of a MRSA recurrence in the postoperative wound. A soiled dressing can become a medium for bacterial growth, including MRSA, and can potentially contaminate the wound.

Choice B rationale

Monitoring for any increase in the white blood cell count is important in detecting an infection, including a MRSA infection. However, it is not the most crucial intervention to minimize the risk of a MRSA recurrence in the postoperative wound.

Choice C rationale

Educating the family on the importance of adhering to contact precautions is important in preventing the spread of MRSA. However, it is not the most crucial intervention to minimize the risk of a MRSA recurrence in the postoperative wound.

Choice D rationale

Wearing a face mask while performing wound care can help prevent the spread of MRSA. However, it is not the most crucial intervention to minimize the risk of a MRSA recurrence in the postoperative wound.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Initiation of peripheral IV access is a common procedure in the emergency department for patients who have experienced a fall. This allows for the administration of fluids and medications as needed.

Choice B rationale

An X-ray of the left shoulder and right knee would likely be ordered given the patient’s report of pain in his left shoulder after the fall. This would help to identify any fractures or other injuries.

Choice C rationale

A CT scan of the brain may not be necessary in this case, unless the patient was experiencing symptoms such as confusion, loss of consciousness, or other neurological signs following the fall.

Choice D rationale

Administration of pain medication would likely be initiated based on the patient’s report of pain.

A. Buttered whole wheat toast and coffee. B. Granola, strawberries, and tea. C. Oatmeal, banana, and herbal tea. D. Sausage, poached eggs, and milk.

Correct Answer is C

Explanation

Choice A rationale

Buttered whole wheat toast and coffee are not the best options for a patient with diarrhea. Whole wheat toast is high in fiber, which can exacerbate diarrhea. Coffee is a diuretic and can lead to further dehydration, which is a risk with diarrhea.

Choice B rationale

Granola is high in fiber and can worsen diarrhea. Strawberries, while a good source of vitamins, are also high in fiber. Tea can be dehydrating, which is not ideal when dealing with diarrhea.

Choice C rationale

Oatmeal is a bland and easily digestible food that can help to firm up the stool. Bananas are a good source of potassium and can help replace electrolytes that may be lost through diarrhea. Herbal tea is a non-caffeinated option that can help to soothe the digestive system.

Choice D rationale

Sausage is high in fat, which can worsen diarrhea. Eggs, while a good source of protein, can be hard to digest for some people and may not be the best choice during a bout of diarrhea. Milk is a common allergen and can cause digestive issues in people who are lactose intolerant.

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A nurse is caring for a patient who has undergone a small bowel resection and has a history of methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention is most crucial to minimize the risk of a MRSA recurrence in the postoperative wound?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On the first day at 1830, certain medical procedures were initiated for the patient.Which of the following procedures were likely to have been initiated based on the patient’s condition?

Correct Answer is ["A","B","D"]

Explanation

What breakfast option should a nurse suggest for a 16-year-old patient suffering from diarrhea?

Correct Answer is C

Explanation

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A nurse is caring for a patient who has undergone a small bowel resection and has a history of methicillin-resistant Staphylococcus aureus (MRSA).

Which nursing intervention is most crucial to minimize the risk of a MRSA recurrence in the postoperative wound?