A nurse is preparing to admit a client who has a new diagnosis of methicillin-resistant Staphylococcus aureus (MRSA). The nurse should plan to place the client in which of the following types of transmission-based precautions?

Choice A Reason: The most important thing is that now you are here, and it is going to get taken care of

While this statement is reassuring, it does not provide the client with the specific information they are seeking about adhesions. Clients often feel more at ease when they understand the cause of their condition. Providing clear and accurate information helps reduce anxiety and empowers the client to be more involved in their care.

Choice B Reason: This means that scar tissue formed from the healing of a past abdominal surgery is now constricting the opening in your intestine

This statement is the best response because it directly addresses the client’s question about adhesions. Adhesions are bands of scar tissue that can form after abdominal surgery, causing organs or tissues to stick together. These adhesions can constrict the intestines, leading to a blockage. Providing this explanation helps the client understand the cause of their condition and the reason for the surgery.

Choice C Reason: I will be happy to go and get you some reading materials about this procedure to explain it further

Offering reading materials can be helpful, but it does not immediately address the client’s anxiety or their specific question about adhesions. While additional information can be beneficial, the nurse should first provide a clear and direct explanation to help the client understand their condition.

Choice D Reason: It’s okay. It happens all the time and I’ve seen a lot of clients with this issue

This statement may come across as dismissive and does not provide the client with the information they need. While it is important to reassure the client, it is equally important to provide specific information about their condition. Understanding the cause of their symptoms can help reduce anxiety and improve the client’s overall experience.

Choice A Reason:

An N95 respirator is used for airborne precautions, not contact precautions. It is necessary for protecting against airborne pathogens like tuberculosis or COVID-19.

Choice B Reason:

Goggles are used to protect the eyes from splashes or sprays of infectious materials. While they can be part of contact precautions, they are not the primary PPE required for changing bed linen.

Choice C Reason:

A face shield provides protection against splashes and sprays to the face. Similar to goggles, it is not the primary PPE required for contact precautions when changing bed linen.

Choice D Reason:

This is the correct answer. Gloves are essential for contact precautions to prevent the transmission of infectious agents through direct or indirect contact with contaminated surfaces or materials. They protect the nurse from coming into contact with pathogens that may be present on the bed linen.