A nurse is providing discharge teaching to a client who has methicillin-resistant Staphylococcus aureus in a leg wound. Which of the following instructions should the nurse include in the teaching about this antibiotic-resistant infection?

Take a tub bath every other day using a mild soap.

Wash bathroom surfaces daily with isopropyl alcohol.

Place the soiled dressing in a sealed plastic bag before placing it in the trash can.

Was the wound area before washing the surrounding skin.

Answer and Explanation

The Correct Answer is C

A) Take a tub bath every other day using a mild soap: While maintaining hygiene is important, taking a tub bath is not the most effective way to prevent the spread of MRSA. Showering is usually recommended to help wash away bacteria without sitting in potentially contaminated water.

B) Wash bathroom surfaces daily with isopropyl alcohol: Cleaning surfaces regularly is important, but using isopropyl alcohol specifically for this purpose is not necessary. Household disinfectants that are effective against bacteria, including bleach solutions, can be used to disinfect surfaces.

C) Place the soiled dressing in a sealed plastic bag before placing it in the trash can: This instruction is crucial to prevent the spread of MRSA. Properly containing and disposing of contaminated dressings minimizes the risk of bacteria spreading to other surfaces or individuals.

D) Wash the wound area before washing the surrounding skin: When cleaning wounds, it's typically recommended to clean the surrounding skin first to avoid spreading bacteria from the wound to the clean skin. This reduces the risk of contamination and helps maintain a sterile environment around the wound.

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Correct Answer is B

Explanation

A. Consume 2,800 calories daily during the third trimester.: The caloric needs during pregnancy vary, but 2,800 calories might be excessive for someone with gestational diabetes. The focus should be on maintaining a balanced diet that helps control blood glucose levels rather than meeting a specific caloric target.

B. Distribute daily calories among three meals and three snacks.: Distributing calories throughout the day with balanced meals and snacks can help manage blood glucose levels and prevent significant spikes or drops. This approach is commonly recommended for managing gestational diabetes.

C. Maintain a blood glucose level between 100 to 130 mg/dL before meals.: The target for fasting blood glucose levels in gestational diabetes is generally less than 95 mg/dL. Maintaining blood glucose levels within this range is crucial to manage the condition effectively.

D. Restrict daily carbohydrate intake to 60% of total caloric intake.: Carbohydrate intake should be managed carefully, but it is not typically restricted to a specific percentage like 60%. Instead, a balanced approach with an emphasis on complex carbohydrates and monitoring individual responses is recommended.

A. Lymphocytes 30% B. RBC 4.4 C. Hgb 14 g/dL D. Hct 42%

Correct Answer is A

Explanation

A) Lymphocytes 30%:
Lymphocyte levels are typically elevated during the acute phase of mononucleosis as the body fights the Epstein-Barr virus. A level of 30% indicates that the lymphocyte count is returning to a more normal range, which suggests the client is recovering from the infection.

B) RBC 4.4:
The red blood cell count is not directly indicative of recovery from mononucleosis. While it provides information about the client's overall hematologic status, it does not specifically reflect the status of the viral infection.

C) Hgb 14 g/dL:
Hemoglobin levels can provide information about the client's oxygen-carrying capacity but do not specifically indicate recovery from mononucleosis. Normal hemoglobin levels are reassuring but not directly related to the viral infection's resolution.

D) Hct 42%:
Hematocrit levels, like hemoglobin, offer information about the client's blood composition but do not directly indicate recovery from mononucleosis. While normal hematocrit levels are desirable, they are not specific to the recovery status of the viral illness.

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A nurse is providing discharge teaching to a client who has methicillin-resistant Staphylococcus aureus in a leg wound. Which of the following instructions should the nurse include in the teaching about this antibiotic-resistant infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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