A hospitalized child has developed a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse plans which interventions when caring for this child? Select all that apply
a. Airborne isolation
b. Administration of vancomycin (Vancocin)
c. Contact isolation
d. Administration of mupirocin (Bactroban) ointment to the nares
e. Administration of cefotaxime (Cefotetan)
B, C, D
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Correct Vancomycin is used to treat MRSA along with mupirocin ointment to the
nares. The patient is placed in contact isolation to prevent spread of the
infection to other patients.
Incorrect The infection is not transmitted by the airborne route so only contact
isolation is required. This infection is resistant to cephalosporins.
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The nurse is teaching a patient about the use of sublingual nitroglycerin. Which statement indicates understanding of the teaching plan?
A) "I must swallow the tablet whole without chewing." B) "I should take a tablet about 45 minutes before initiating a strenuous activity that causes angina." C) "I'll keep the nitroglycerin in its original dark, airtight container." D) "I'll take a tablet every 5 minutes until my chest pain stops."
A patient is admitted with an acute myocardial infarction (AMI). The nurse monitors for which potential complications? (Select all that apply.)
a. Cardiac dysrhythmias b. Heart failure c. Pericarditis d. Ventricular rupture
A client is considering methotrexate and misoprostol as a means of terminating her pregnancy. Which of the following items would the nurse include when discussing this type of pregnancy termination?
A) Methotrexate and misoprostol are used mainly for second-trimester pregnancies. B) Acetaminophen is contraindicated during the methotrexate and misoprostol procedure. C) The treatment regimen consists of a single visit to the clinic and drug therapy at home. D) A surgical abortion may be required if the procedure is not successful.
What should the nurse do when a patient is required to provide a timed urine specimen?
a. Save all urine from the time the test began. b. Leave the collection bottle on the floor near the patient's bed. c. Send notices along with the patient when leaving the unit to have all urine saved and returned to the unit. d. Remove contaminants such as toilet paper from the urine before transferring it to the collection bottle.