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:
This will reduce splashing and aerosolization of the solution. This prevents contamination of the solution and the sterile field by keeping a safe distance from the bowl.
Choice B rationale:
Sterile gloves should be applied after the sterile field is established to prevent contamination. This will prevent contamination of the gloves by touching the outside of the bottle.
Choice C rationale:
the nurse should place the lid of the sterile solution bottle face up on a separate sterile drape, not face down on the same drape. This will prevent contamination of the lid and the drape by touching each other.
Choice D rationale:
the nurse should hold the bottle of sterile solution so that the label is facing away from the palm of the hand, not towards it. This will prevent the label from getting wet and unreadable.
Correct Answer is C
Explanation
Choice A rationale:
Verifying the count total after removing the required amount is a step in ensuring accurate medication administration, but it is not specifically related to controlled substances.
Choice B rationale:
Asking a second nurse to record her signature is a recommended practice when wasting any unused portion of a controlled substance to ensure accountability.
Choice C rationale:
Reporting any discrepancy in the count total is essential, especially for controlled substances, to maintain accuracy and detect potential diversion.
Choice D rationale:
Placing the wasted portion in the sharps container is not the correct disposal method for controlled substances. Controlled substances should be witnessed and documented during disposal.
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