Exhibits
Which 3 other interventions can the practical nurse (PN) initiate to limit the spread of methicillin-resistant Staphylococcus aureus (MRSA)?
Use a client-specific stethoscope.
Wipe the medication cart with bleach after bringing it into the room.
Measure the client's temperature with a disposable thermometer.
Change gloves between different clients.
Pad the client's side rails with clean linens.
Correct Answer : A,C,D
A. Use a client-specific stethoscope.
Indicated: Using a client-specific stethoscope helps prevent the spread of MRSA between patients. Each client should have dedicated equipment to reduce cross-contamination.
B. Wipe the medication cart with bleach after bringing it into the room.
Not Indicated: While disinfection of surfaces is important, the cart should be cleaned according to hospital protocol, which may involve different cleaning agents. Bleach is not typically used for medication carts and might not be the standard protocol.
C. Measure the client's temperature with a disposable thermometer.
Indicated: Using a disposable thermometer or single-use covers for thermometers prevents the transmission of MRSA to other patients. This practice helps maintain infection control.
D. Change gloves between different clients.
Indicated: Gloves should be changed between patients to prevent the spread of MRSA. This is a standard infection control practice to avoid cross-contamination.
E. Pad the client's side rails with clean linens.
Not Indicated: While padding the side rails may be done for client comfort or safety, it does not specifically address the control of MRSA spread and is not a direct infection control measure for MRSA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administering cholera vaccines can help prevent further cases but is not the immediate priority for those already infected.
B. Administering prophylactic antibiotics is important but not the highest priority compared to addressing the acute symptoms of cholera.
C. Isolating all infectious diarrhea victims helps prevent the spread of infection but does not address the immediate life-threatening dehydration and electrolyte imbalance.
D. Providing fluid and electrolyte replacement is the highest priority as cholera causes severe dehydration and electrolyte imbalance, which can be fatal if not treated promptly. Immediate rehydration is crucial to save lives.
Correct Answer is D
Explanation
A. Urinary output of 50 mL/hour is within normal limits and does not directly impact morning care instructions.
B. An oxygen saturation measurement of 95 to 96% is generally acceptable and does not necessitate specific morning care instructions.
C. A blood pressure of 144/84 mm Hg is elevated but not critical in the context of morning care instructions for the UAP.
D. Orientation to person only indicates a cognitive impairment that could affect the client’s ability to understand or follow instructions, cooperate during care, and ensure safety during activities like bathing or moving. This is the most critical factor to consider when providing instructions to the UAP.
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