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NurseDive Free Nursing Practice Question
A charge nurse is observing a newly licensed nurse care for a client who has a methicillin-resistant Staphylococcus aureus (MRSA). Which of the following observations of the newly licensed nurse indicates an understanding of infection control precautions?
A. Remains 3 feet away from the client
Keeping a safe distance is important but 3 feet away is not enough precaution.
B. Wears an N95 mask when providing wound care
MRSA is not airborne and hence not prevented through wearing of masks
C. Disposes of isolation gown outside of the client's room
The isolation gowns should be disposed in designated areas to prevent the spread of the infection.
D. Wears clean gloves when caring for the client
MRSA is spread through direct contact with infected persons or infectious droplets.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Adult Medical Surgical 2023 Proctored Exam. Take the full exam now
Full Explanation
MRSA is spread through direct contact with infected persons or infectious droplets.
A. Keeping a safe distance is important but 3 feet away is not enough precaution.
B. MRSA is not airborne and hence not prevented through wearing of masks
C. The isolation gowns should be disposed in designated areas to prevent the spread of the infection.
Similar Questions
A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
A. This medication may cause my blood pressure to increase."
Isoniazid (INH) does not typically affect blood pressure.
B. "I should take an antacid with each dose of this medication."
Antacids can interfere with the absorption of isoniazid, so they should be avoided or taken at least one hour before or two hours after taking isoniazid.
C. "I plan to take this medication for 1 week."
Treatment for tuberculosis typically involves taking isoniazid for a minimum of 6 to 9 months, sometimes longer, depending on the severity of the infection
D. "I will have my liver function tested while I am taking this medication."
Regular monitoring of liver function is important while taking isoniazid because the medication can cause liver damage in some individuals.
Full Explanation
Regular monitoring of liver function is important while taking isoniazid because the medication can cause liver damage in some individuals.
A. Isoniazid (INH) does not typically affect blood pressure.
B. Antacids can interfere with the absorption of isoniazid, so they should be avoided or taken at least one hour before or two hours after taking isoniazid.
C. Treatment for tuberculosis typically involves taking isoniazid for a minimum of 6 to 9 months, sometimes longer, depending on the severity of the infection
A nurse is teaching about safe positioning with the caregiver of a client who has right-sided hemiplegia following a stroke. Which of the following statements by the caregiver indicates an understanding of the teaching?
A. "I will ensure their neck is flexed backwards when they're lying on their stomach."
When lying on the stomach (prone position), the neck should be neutral (neither flexed nor extended). Flexing the neck backward can strain the cervical spine and compromise airway alignment.
B. "I will support their feet with a rolled pillow when they are lying on their back."
Supporting the feet with a rolled pillow helps prevent foot drop (a common issue in hemiplegia). It maintains the ankle in a neutral position, preventing contractures.
C. "I will rest their heels on the mattress when they are sitting up in bed."
For a client with right-sided hemiplegia, the affected leg (right leg) should be supported to prevent foot drop.
D. "I will use a thick pillow under their head to support the neck."
A thick pillow under the head can cause neck hyperextension.The head should be supported with a small, firm pillow to maintain a neutral neck position.
Full Explanation
B. Supporting the feet with a rolled pillow helps prevent foot drop (a common issue in hemiplegia). It maintains the ankle in a neutral position, preventing contractures.
A. When lying on the stomach (prone position), the neck should be neutral (neither flexed nor extended). Flexing the neck backward can strain the cervical spine and compromise airway alignment.
C. For a client with right-sided hemiplegia, the affected leg (right leg) should be supported to prevent foot drop.
D. A thick pillow under the head can cause neck hyperextension.
The head should be supported with a small, firm pillow to maintain a neutral neck position.
A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?
A. Ensure the client's bed is positioned to greater than 45°.
The head of the bed should be elevated to 30 degrees to reduce intracranial pressure.
B. Initiate airborne precautions.
Bacterial meningitis is transmitted through hematogenous route and airborne precautions are not always necessary.
C. Ensure lights are dimmed in the client's room.
Clients with meningitis may be sensitive to light, dimming the lights should be implemented to increase comfort by reducing stimuli.
D. Encourage frequent ambulation.
Encourage frequent ambulation is not appropriate for bacterial
Full Explanation
A. The head of the bed should be elevated to 30 degrees to reduce intracranial pressure.
B. Bacterial meningitis is transmitted through hematogenous route and airborne precautions are not always necessary.
C. Clients with meningitis may be sensitive to light, dimming the lights should be implemented to increase comfort by reducing stimuli.
D. Encourage frequent ambulation is not appropriate for bacterial