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 B
Explanation
Choice A rationale:
Palpating the abdomen should be done cautiously and is not the first action, especially if an abdominal obstruction is suspected.
Choice B rationale:
Auscultating bowel sounds is the first action the nurse should take when assessing a client with right lower quadrant pain, nausea, and vomiting. Bowel sounds can provide information about bowel motility and potential obstruction. The nurse should use the least invasive assessment technique first, which is auscultation.
Choice C rationale:
Administering an antiemetic may be necessary, but assessing bowel sounds takes precedence in the initial assessment.
Choice D rationale:
Offering pain medication is not the first action, as the cause of the symptoms needs to be identified before pain management. Pain medication could mask the symptoms and delay diagnosis.
Correct Answer is B
Explanation
- A. Calcium 9.6 mg/dL: This value is within the normal range for calcium, which is typically between 8.7 to 10.2 mg/dL. Therefore, this value does not need to be reported to the provider.
- B. Potassium 5.8 mEq/L: This value is above the normal range for potassium, which is generally between 3.5 to 5.0 mEq/L. Elevated potassium levels can be dangerous and may indicate hyperkalemia, which requires prompt medical attention.
- C. Magnesium 1.9 mEq/L: This value falls within the normal range for magnesium, which is usually between 1.6 to 2.2 mg/dL. Thus, this is not a value that would typically be reported to the provider.
- D. Sodium 140 mEq/L: This value is within the normal range for sodium, which is commonly between 135 to 145 mEq/L. As such, it does not need to be reported to the provider.
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