The nurse is caring for a client admitted to the ambulatory surgery unit for a procedure. The client was placed in a private room. The admitting nurse reads in the surgeon's current history and physical document that the client has methicillin-resistant staphylococcus aureus (MRSA) in a right leg wound. What is the nurse's first action?

Implement droplet precautions, and don gloves prior to changing the dressing

Notify the client's surgeon

Implement contact precautions and wear gown and gloves when entering the room.

Notify the charge nurse

Answer and Explanation

The Correct Answer is C

A. Droplet precautions are not required for MRSA in a wound; contact precautions are indicated.
B. Notifying the surgeon may be appropriate later, but immediate infection control measures take priority.
C. The priority is to implement contact precautions to prevent the spread of MRSA. This includes wearing gown and gloves upon entering the room.
D. Informing the charge nurse may be done afterward, but the nurse’s immediate responsibility is to initiate appropriate isolation precautions.

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Correct Answer is A

Explanation

A. Bisphosphonates (e.g., alendronate, risedronate) must be taken on an empty stomach with a full glass of water in the morning to enhance absorption. No other food, drink, or medications should be taken for at least 30 minutes afterward.

B. Calcium supplements may still be prescribed in addition to bisphosphonates for osteoporosis management. They are not excluded.

C. Clients must remain upright (sitting or standing) for at least 30 minutes after ingestion to prevent esophageal irritation or reflux, not lie down.

D. Calcium supplements are often recommended, but they should be taken at a different time of day than bisphosphonates to avoid interference with absorption.

A. Treat infected house pets B. Use moist, warm compresses C. Use selenium sulfide shampoo D. Apply a topical antifungal cream

Correct Answer is D

Explanation

A. Treating infected pets is important in other fungal infections like tinea corporis (ringworm), but not specifically for tinea pedis (athlete’s foot), which is usually contracted from damp surfaces.
B. Moist, warm compresses create an environment that promotes fungal growth and would worsen the infection.
C. Selenium sulfide shampoo is used for tinea capitis (fungal infection of the scalp), not for tinea pedis.
D. Tinea pedis is best managed with topical antifungal creams or powders, such as clotrimazole or terbinafine. These reduce fungal growth, relieve itching, and promote healing.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is planning care for a child who has tinea pedis. Which action should the nurse include in the plan of care?

Correct Answer is D

Explanation

The nurse is educating a client's spouse about anticipatory grief. Which statement made by the spouse indicates understanding?

What is the most appropriate question for the nurse to ask to help determine a potential contributing factor when assessing a client recently diagnosed with acute glomerulonephritis?

The nurse is caring for a child who has cellulitis on the foot. Which is an appropriate nursing action? (Select all that apply)

The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?

The school nurse is conducting screenings for pediculosis capitis. Which assessment finding most supports a positive finding?

The school nurse is educating parents on how to care for their child with pediculosis capitis. What will the nurse include when explaining to the parents how to manage pediculosis capitis?

The nurse is caring for a client who was admitted to the emergency department after receiving a chemical burn to the eye. What is the priority nursing action for this client?

The nurse is educating a client taking an H2 blocker about peptic ulcer disease. The client is asking the nurse what factors increase the risk of peptic ulcer disease and how to prevent them. What is the most appropriate response by the nurse?