A client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). What should the nurse keep in mind when planning care for this infection?
1. Cannot be treated with any antibiotics
2. Can be treated with no restrictions
3. The patient can be placed in a room with another client with an infection
4. The patient must be isolated using contact precautions
Answer: 4
1. MRSA is treated with antibiotics not yet resistant to it.
2. The treatment of MRSA is limited to specific antibiotics and contact precautions.
3. It is not recommended to admit a client with MRSA into a room with another client with an infection because of the risk of cross-transmission.
4. Since MRSA is often transmitted on the hands of health care workers, contact isolation reduces the transmission of direct skin contact and skin to clothing contact. Clients should be isolated to prevent spread of the bacteria.
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The parents of an eight-month-old infant are very distressed that the infant cries for at least one hour when they go out on Friday nights. Which of these statements should the nurse make to the parents?
1. "Your infant is attached to you. This is an expected infant response." 2. "Your baby seems to be afraid of the sitter. Why don't you try another sitter?" 3. "Your infant is too young to be experiencing stranger anxiety; however, you might need to stop going out on Friday nights for a while." 4. "Oh, don't worry. All infants and toddlers display these behaviors until at least 2½ years old."
A woman sustained a moderate blow to the lower pelvic region in an occupational accident. She is surprised to find out that no bones were broken. What explanation by the nurse is best?
A. "Blunt force trauma doesn't cause fractures." B. "Pelvic bones are very hard to fracture." C. "Some fractures don't show up right away." D. "You have a fat pad in front of your pelvis."
The nurse understands that to reduce tolerance to nitrates in a patient with stable angina, the patient should be dosed with
a. SL nitroglycerin prn. b. sustained-release oral tablets on an intermittent schedule. c. transdermal nitroglycerin patches q 24 hours. d. nitroglycerin ointment q 8 hours.
The nurse is assessing a client's triceps reflex. Which nerves should the nurse understand are being assessed?
A. L1 and L2. B. C6 and C7. C. L3 and L4. D. C5 and C6.