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Exhibits

The practical nurse (PN) re-educates the client on methicillin-resistant Staphylococcus aureus (MRSA).

Click to indicate whether the client's statement(s) indicate understanding or no understanding. Each row must have one option selected.

A.

"MRSA is not that big of a deal."

B.

"I should wash my hands and encourage others who are around me to wash their hands."

C.

"I will no longer be able to transmit MRSA once my surgical site is completely healed."

D.

"My diet makes a difference in my ability to heal."

E.

"I should only take antibiotics until I feel better."

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

  1. "MRSA is not that big of a deal."
    No Understanding: MRSA is a serious infection that can be difficult to treat and can spread. It is important for the client to understand the severity of MRSA.
  2. "I should wash my hands and encourage others who are around me to wash their hands."
    Understanding: Hand hygiene is critical in preventing the spread of MRSA. The client is aware of the importance of hand washing for infection control.
  3. "I will no longer be able to transmit MRSA once my surgical site is completely healed."
    No Understanding: MRSA can be a persistent infection, and healing of the surgical site does not guarantee that MRSA cannot be transmitted. Proper infection control measures must continue.
  4. "My diet makes a difference in my ability to heal."
    Understanding: Nutrition plays a role in the healing process and overall recovery. A balanced diet supports the immune system and aids in wound healing.
  5. "I should only take antibiotics until I feel better."
    No Understanding: It is crucial to complete the full course of antibiotics as prescribed to ensure the infection is fully treated and to prevent resistance


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Related Questions

Correct Answer is B

Explanation

A. Re-assessing the client’s temperature is important but not the priority action since the client is currently afebrile and the cough with yellow sputum could indicate an infection or other condition needing immediate attention.
B. Notifying the charge nurse of the assessment findings is the priority because the yellow-tinged sputum in a client receiving chemotherapy might indicate an infection or complication that requires further investigation and possible intervention.
C. Measuring and recording intake and output is important for overall fluid balance but does not address the immediate concern of a productive cough with potential infection.
D. Providing regular oral hygiene is part of general care but does not address the potential underlying cause of the productive cough and yellow-tinged sputum.

Correct Answer is A

Explanation

A. Evisceration is the protrusion of internal organs, such as the bowel, through a wound that has reopened. The observation of bowel on the skin indicates this serious complication.
B. Hemorrhage refers to excessive bleeding, which would not typically involve the appearance of bowel on the skin.
C. Infection could cause wound complications but would not lead to the sudden appearance of bowel outside the body.
D. Dehiscence is the partial or complete separation of wound edges, but it does not involve the protrusion of internal organs. Evisceration is a more severe progression where internal organs are exposed.

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