The nurse is preparing to change the linens on the bed of a client who has a draining sacral wound infected by MRSA. Which PPE items should the nurse plan to use? (Select all that apply.)

Shoe covers

Gown

N95 respirator

Surgical mask

Gloves

Answer and Explanation

Correct Answer : B,D,E

A reason:

Shoe covers are not typically required for standard precautions when dealing with MRSA-infected wounds. They are used in specific scenarios to prevent environmental contamination.

B reason:

Wearing a gown is essential to protect the nurse's clothing and skin from potential contamination with MRSA.

C reason:

An N95 respirator is not necessary unless there is a concern about airborne transmission, which is not the case with MRSA in a draining wound.

D reason:

A surgical mask may be used to protect the nurse from any potential splashes or to prevent respiratory droplets from contaminating the wound area.

E reason:

Gloves are essential to protect the nurse's hands from contamination and prevent the spread of MRSA. They should be worn during any contact with the wound or contaminated linens.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A reason: Blood pressure. Blood pressure is an objective measurement that can be quantitatively assessed using a sphygmomanometer. It is not considered subjective data because it does not rely on the client's perception or feelings.

B reason: Cyanosis. Cyanosis, or the bluish discoloration of the skin, is an observable physical sign that can be assessed by the healthcare provider. It is considered objective data, not subjective.

C reason: Nausea. Nausea is a subjective symptom reported by the client. It is based on the client's personal experience and cannot be directly observed or measured by the healthcare provider, making it subjective data.

D reason: Petechiae. Petechiae are small, red or purple spots on the skin caused by minor bleeding. These are observable and measurable physical signs, thus considered objective data.

A. If you don't have an infection, your hands won't infect others. B. If you wear gloves, you do not have to wash your hands. C. Use an alcohol rub when your hands are visibly soiled. D. Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds.

Correct Answer is D

Explanation

A reason:

Saying that if you don't have an infection, your hands won't infect others is incorrect. Hands can carry and transmit pathogens even if the person is not visibly ill.

B reason:

Wearing gloves does not replace the need for hand washing. Hands should be washed before and after wearing gloves to prevent contamination.

C reason:

Using an alcohol rub when hands are visibly soiled is incorrect. When hands are visibly dirty, soap and water should be used to ensure thorough cleaning.

D reason:

Rubbing all surfaces of the hands with an alcohol rub for 20 to 30 seconds is correct. This ensures that the alcohol rub is effective in killing pathogens and maintaining hand hygiene.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is preparing to change the linens on the bed of a client who has a draining sacral wound infected by MRSA. Which PPE items should the nurse plan to use? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

Correct Answer is C

Explanation

A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?

A nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not want to have the procedure done." Which of the following actions should the nurse take?

A nurse is implementing a bowel training program for a client. For the program to be effective, the nurse should take the client to the toilet at which of the following times?

A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?