A nurse is reinforcing teaching with the family of a client who has methicillin-resistant Staphylococcus aureus (MRSA) of a leg wound and is on contact precautions. Which of the following statements by a family member indicates an understanding of the teaching?
"There is no cure for MRSA.”
"We will need to wear masks when we are in the hospital room."
"MRSA only occurs in health care facilities.”
"We should remove gloves before leaving the hospital room."
The Correct Answer is D
A. "There is no cure for MRSA.": MRSA infections can be treated with specific antibiotics.
B. "We will need to wear masks when we are in the hospital room.": Masks are not necessary for contact precautions unless there is an additional indication, such as droplet precautions.
C. "MRSA only occurs in health care facilities.": MRSA can occur in both community and healthcare settings.
D. "We should remove gloves before leaving the hospital room.": Gloves and gowns must be removed inside the room to prevent contamination of the hospital environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Unable to repeat the names of three common objects the nurse names.": This indicates possible short-term memory issues but is less critical than a reduced level of consciousness.
B. "Unable to answer a judgment question correctly.": Poor judgment is less immediately concerning compared to reduced consciousness.
C. "Unable to remember their adult children's names.": Long-term memory loss is not as urgent as changes in consciousness or neurological status.
D. "Unable to remain fully awake while answering questions.": This finding suggests a potential decline in neurological status, such as increased intracranial pressure or a brain injury, and is the priority.
Correct Answer is C
Explanation
A. "It is common for the skin on my breasts to dimple": Dimpling can be a sign of breast cancer due to underlying tissue changes and should be evaluated.
B. "I will perform breast exams every other month": BSE should be done monthly to detect any changes early.
C. "It is common for one breast to be larger than the other." Slight asymmetry between breasts is normal and not a cause for concern unless there is a sudden change.
D. "I will perform breast exams the day my period begins": BSE should be done 5-7 days after the menstrual period starts when hormonal swelling has subsided.
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