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.

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Correct Answer is C

Explanation

A reason:

Checking the patient's pulse and temperature is important but not the priority. The elevated blood pressure needs to be reassessed first to confirm accuracy before taking further actions.

B reason:

Having the UAP repeat the blood pressure is not appropriate. The nurse should personally repeat the measurement to ensure accuracy and assess for any potential issues immediately.

C reason:

Repeating the blood pressure is the priority. An initial high reading needs to be confirmed to rule out any measurement error and to determine if immediate intervention is needed.

D reason:

Administering the patient's morning medications may be necessary, but confirming the blood pressure reading is more urgent to ensure that any medications given are appropriate for the current condition.

A. It is acceptable to use alcohol-based hand products after most client contact. B. I should wash my hands before I provide client care. C. I will not wear artificial nails when providing client care. D. As long as I change gloves between clients, it is not necessary to wash my hands.

Correct Answer is D

Explanation

A reason:

Using alcohol-based hand products after most client contact is acceptable and effective in maintaining hand hygiene, particularly when soap and water are not readily available.

B reason:

Washing hands before providing client care is a fundamental practice in infection control and is essential to prevent the spread of pathogens.

C reason:

Not wearing artificial nails when providing client care is important for infection control. Artificial nails can harbor bacteria and other pathogens, increasing the risk of transmitting infections.

D reason:

Changing gloves between clients without washing hands is incorrect and indicates a need for further teaching. Hand hygiene is necessary even when gloves are used to prevent cross-contamination. Gloves are not a substitute for proper hand washing.

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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

Correct Answer is C

Explanation

A nurse is providing teaching to a group of assistive personnel (AP) about hand hygiene. Which of the following statements by one of the APs indicates a need for further teaching?

Correct Answer is D

Explanation

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