What does a score of 6 on the Katz Index of Independence in Activities of Daily Living (ADLs) indicate?

A. Wear sterile gloves: Sterile gloves are not necessary for checking a pulse. Sterile gloves are typically used for procedures that involve direct contact with sterile areas or instruments. Checking a pulse does not require maintaining a sterile field, so clean gloves are sufficient.

B. Wear an N95 respirator mask: An N95 respirator mask is typically required for airborne precautions, such as those used for tuberculosis, but not for MRSA. MRSA is primarily transmitted through direct contact with infected wounds or contaminated surfaces, so an N95 mask is not needed for this situation.

C. Wear clean gloves: Wearing clean gloves is the appropriate action when interacting with a client who has MRSA. This helps to prevent the transmission of bacteria and protects both the client and the nurse. Clean gloves should be used for any contact with the client or their environment to minimize the risk of spreading infection.

D. Wear protective eyewear: Protective eyewear is generally used when there is a risk of splashes or sprays of bodily fluids. In this scenario, unless there is a specific risk of such exposure during the pulse check, protective eyewear is not necessary. Clean gloves are the primary requirement for basic contact precautions with MRSA.

A. Mask: The mask is removed after the gloves to prevent any contaminants from the gloves from touching the face, particularly around the mouth and nose area. Removing the mask first could increase the risk of exposure to pathogens.

B. Face shield: Similar to the mask, the face shield is also removed after the gloves. This helps to avoid contamination from the gloves to the face. Removing the face shield before the gloves could pose a risk of exposure to infectious materials.

C. Gown: The gown is typically removed after the gloves to ensure that any contaminants on the gloves do not come into contact with the nurse's skin or clothing. Removing the gown before the gloves can also lead to cross-contamination.

D. Gloves: Gloves should be the first item removed when taking off personal protective equipment. This is because gloves are the most likely to be contaminated with infectious materials. Removing them first minimizes the risk of transferring pathogens to other areas of the body or clothing during the process of doffing PPE. After removing the gloves, the nurse can safely proceed to remove other items, such as the gown, face shield, and mask, following proper protocols.