The nurse caring for a client infected with methicillin-resistant Staphylococcus aureus (MRSA) should
a. discourage transfer to a long-term care facility.
b. encourage the client to increase fluid consumption.
c. place the client in protective isolation.
d. use standard precautions plus transmission-based precautions.
C
"Standard precautions" is the more important of the two tiers of isolation strategies proposed by the Hospital Infection Control Practices Advisory Committee of the CDC. They are designed for the care of all clients and synthesize the major components of the older universal precautions and body substance isolation. They are used for contact with non-intact skin, mucous membranes, blood, and all body fluids, secretions, and excretions except sweat. "Transmission-based precau-tions" form the second tier of infection control and are used for clients who have diagnosed or suspected infections, or who are colonized with transmissible pathogens. The three types of transmission-based precautions are contact, droplet, and airborne.
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