A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse Indicates an understanding of the teaching?
"I will remove my gown before my gloves after providing client care."
"I will place the client in a private room."
"I will tell the client's visitors to wear a mask when they are within 3 feet of the client."
"I will wear an N95 respirator mask when caring for the client."
"I will wear an N95 respirator mask when caring for the client."
The Correct Answer is B
MRSA is a highly contagious infection that can spread through direct contact or through contaminated surfaces. Placing the client in a private room helps minimize the risk of spreading
the infection to other patients or healthcare providers. This measure is known as "contact precautions" and is a standard practice for managing MRSA infections.
When removing personal protective equipment (PPE) after caring for a client with MRSA, it is important to remove the gloves first, followed by the gown. This sequence helps prevent contamination of the hands.
While it is generally important for visitors to practice good hand hygiene, wearing a mask when they are within 3 feet of the client may not be necessary unless they are providing direct care and are in close proximity to the client's respiratory secretions.
The use of N95 respirator masks is primarily indicated for airborne precautions, such as in cases of tuberculosis. For MRSA, the primary mode of transmission is through direct contact or contaminated surfaces, so standard precautions and appropriate hand hygiene are the key preventive measures.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse's priority finding in this case would be a change in appearance of a mole on the shoulder. Changes in the appearance of moles can be an indication of skin cancer or melanoma, which is a serious and potentially life-threatening condition. It is important for the nurse to assess the mole further and report any concerning changes to the healthcare provider for appropriate evaluation and management. The other findings, such as skin tags, a flat discolored area of skin, or atrophic fingers, may require further assessment and interventions, but they are not as immediately concerning as a potential change in a mole that could indicate skin cancer.
Correct Answer is A
Explanation
An IVP is a radiographic procedure that involves injecting a contrast dye into the vein to visualize the urinary tract. Metal objects can interfere with the imaging process and may need to be removed or avoided during the procedure. The nurse should assess the client for any metal objects, such as jewelry or clothing accessories, and ensure they are removed before the procedure to ensure accurate imaging.
Monitoring the client for pain in the suprapubic region is not directly related to an IVP. Suprapubic pain may be associated with other urinary tract procedures or conditions, but it is not a specific concern during an IVP.
Assisting the client with a bowel cleansing is not necessary for an IVP. Bowel cleansing is typically done for procedures involving the lower gastrointestinal tract, such as colonoscopy or barium enema.
Administering oral contrast before the procedure is also not necessary for an IVP. In an IVP, the contrast dye is administered intravenously, not orally. Oral contrast is typically used for imaging studies of the gastrointestinal tract, such as an upper GI series or CT scan of the abdomen.
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