A nurse is providing teaching to an adolescent who has methicillin-resistant Staphylococcus aureus (MRSA) folliculitis on their face. Which of the following statements should the nurse make?
"You should discard disposable razors after 1 week of use."
"You can continue to participate in contact sports."
"You should apply an over-the-counter hydrocortisone cream to the affected area daily."
"Your clothing should be changed daily and washed in hot water."
The Correct Answer is D
Choice A reason: Discarding disposable razors after one week of use is not sufficient for infection control in MRSA folliculitis. MRSA is highly contagious and can spread through contaminated personal items. The recommendation is to discard razors after each use to prevent re-inoculation of bacteria and transmission to others. Keeping a razor for a week allows bacterial colonization and increases the risk of spreading infection to new areas of the skin or to other individuals. Therefore, this statement is incorrect because it does not meet the strict hygiene requirements necessary for MRSA management.
Choice B reason: Continuing to participate in contact sports is unsafe for an adolescent with MRSA folliculitis. MRSA spreads easily through skin-to-skin contact and shared equipment, both of which are common in contact sports. Allowing participation increases the risk of transmitting MRSA to teammates and others. Public health guidelines emphasize restricting participation until the infection is fully treated and lesions are healed. Thus, this statement is inappropriate and incorrect because it disregards infection control measures.
Choice C reason: Applying over-the-counter hydrocortisone cream daily is not recommended for MRSA folliculitis. Corticosteroids suppress local immune responses and can worsen bacterial infections by reducing inflammation without addressing the underlying pathogen. MRSA requires targeted antimicrobial therapy, not corticosteroid treatment. Using hydrocortisone could delay healing, increase bacterial proliferation, and potentially worsen the infection. Therefore, this statement is incorrect because it promotes an unsafe and ineffective treatment approach.
Choice D reason: Changing clothing daily and washing it in hot water is the correct teaching for an adolescent with MRSA folliculitis. MRSA can survive on fabrics and surfaces, making clothing a potential reservoir for reinfection or transmission. Hot water laundering helps kill bacteria and reduces contamination risk. Daily clothing changes prevent prolonged bacterial contact with the skin and minimize spread to household members. This recommendation aligns with infection control practices and is the most appropriate teaching statement for preventing recurrence and transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Warfarin is an anticoagulant, and when combined with eptifibatide, which is a glycoprotein IIb/IIIa inhibitor that prevents platelet aggregation, the risk of severe bleeding increases significantly. This drug interaction is contraindicated because it can lead to life-threatening hemorrhage. This makes Warfarin the correct answer.
Choice B reason: Metoprolol is a beta-blocker used for hypertension and cardiac conditions. It does not directly interact with eptifibatide in a way that increases bleeding risk. Therefore, it is not contraindicated.
Choice C reason: Sertraline is an SSRI antidepressant. While SSRIs can increase bleeding risk slightly due to platelet effects, they are not considered absolute contraindications with eptifibatide. The risk is lower compared to anticoagulants like warfarin.
Choice D reason: Lisinopril is an ACE inhibitor used for hypertension and heart failure. It does not have a direct interaction with eptifibatide that would contraindicate use. While monitoring for hypotension and renal function is necessary, it is not a contraindication.
Correct Answer is B
Explanation
Choice A reason: Publicly confronting coworkers when conflict arises is not an appropriate strategy for managing compassion fatigue. This approach can escalate tension, create hostility, and worsen workplace stress. Compassion fatigue is already associated with emotional exhaustion and decreased resilience, so aggressive confrontation only compounds the problem. Healthy conflict resolution involves private, respectful communication and structured mediation, not public confrontation.
Choice B reason: Engaging in regular physical exercise is the correct answer because physical activity reduces stress hormones, improves mood through endorphin release, and enhances overall resilience. Exercise also promotes better sleep and energy regulation, which are critical in preventing burnout and compassion fatigue. Nurses who maintain physical wellness are better equipped to handle the emotional demands of patient care.
Choice C reason: Encouraging a passive communication style is counterproductive. Passive communication leads to suppressed emotions, unresolved conflicts, and feelings of powerlessness, all of which worsen compassion fatigue. Effective communication in healthcare requires assertiveness, clarity, and respect, ensuring that nurses can advocate for themselves and their patients without internalizing stress.
Choice D reason: Establishing a strong employee code of conduct is important for organizational culture but does not directly address compassion fatigue. Codes of conduct regulate professional behavior and ethics, but they do not provide personal coping mechanisms or stress-relief strategies. While valuable for workplace harmony, they are not a primary intervention for compassion fatigue.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.