A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MP of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I will tell the client's visitors to wear a mask when they are within 3 feet of the client."
"I will place the client in a private room."
"I will wear an N95 respirator mask when caring for the client."
"I will remove my gown before my gloves after providing client care."
The Correct Answer is B
Choice A rationale:
Telling the client's visitors to wear a mask within 3 feet is not a standard precaution for MRSA. Standard precautions, including hand hygiene, are generally sufficient.
Choice B rationale:
Placing the client in a private room is appropriate to prevent the spread of MRSA to other clients.
Choice C rationale:
Wearing an N95 respirator mask is not necessary for routine care of a client with MRSA. Standard precautions are usually adequate.
Choice D rationale:
Removing the gown before gloves is not consistent with standard precautions. The gown should be removed after gloves to minimize the risk of contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Determining whether the client can afford the insulin administration supplies is a priority to ensure that the client can effectively manage their diabetes.
Access to supplies is crucial for adherence to the treatment plan. Financial considerations directly impact the client's ability to follow through with prescribed treatments.
Choice B rationale:
Providing the client with the contact number for a diabetes education specialist is important but is a subsequent step after addressing the immediate concern of affordability.
Choice C rationale:
Making a copy of the medication reconciliation form is a part of the documentation process but is not the first priority. While documentation is essential, addressing immediate needs takes precedence.
Choice D rationale:
Obtaining printed information about insulin self-administration is important, but assessing affordability comes first to ensure the client can implement the education received. Understanding the client's financial capacity is foundational to effective diabetes management.
Correct Answer is C
Explanation
Choice A rationale:
The radial vein on the left wrist is not typically chosen for IV therapy. Additionally, proximity to the mastectomy site may be a consideration.
Choice B rationale:
The cephalic vein on the back of the right hand is not typically selected, especially following a right mastectomy. Choosing a vein on the affected side may increase the risk of complications.
Choice C rationale:
The cephalic vein in the left distal forearm is a suitable choice. It is on the opposite side of the mastectomy and allows for effective IV therapy.
Choice D rationale:
The basilic vein in the right antecubital fossa is on the affected side and may pose a higher risk of complications. Choosing a vein on the opposite side is generally preferred.
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