A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus (MRSA)?
a. Client admitted from a nursing home with furuncles and folliculitis
b. Client with a leg cut and other trauma from a motorcycle crash
c. Client with a rash noticed after participating in sporting events
d. Client transferred from intensive care with an elevated white blood cell count
ANS: A
The client in long-term care and other communal environments is at high risk for MRSA. The presence of furuncles and folliculitis is also an indication that MRSA may be present. A client with an open wound from a motorcycle crash would have the potential to develop MRSA, but no signs are visible at present. The rash following participation in a sporting event could be caused by several different things. A client with an elevated white blood cell count has the potential for infection but should be at lower risk for MRSA than the client admitted from the communal environment.
You might also like to view...
The average adult dose of Phenergan is 50 mg. Using the Young rule for a 10-year-old, what is the correct dosage for the child?
a. 23 mg b. 25 mg c. 30 mg d. 35 mg
The patient's temperature has reached 103.4° F. The nurse prepares to draw a blood culture before giving the patient an antipyretic medication. What is the best reason to draw a blood cul-ture before giving an antipyretic medication?
a. The causative organism is most prevalent during a spike in temperature. b. Elevated temperatures slow metabolic rate and improve blood oxygenation. c. Increased blood flow leads to moist muc-ous membranes making blood draws easi-er. d. Venous distention is greater because of fluid retention secondary to hyperthermia.
A patient has undergone tests that indicate a deficiency of the parathormone secretion. She should be informed of which potential complication?
a. Osteoporosis b. Lethargy c. Laryngeal spasms d. Kidney stones
The client receives cyclophosphamide (Cytoxan) as treatment for cancer, and is experiencing oral irritation as an adverse effect. What does the best plan by the nurse include as it relates to providing oral comfort?
1. Teach the client to avoid extreme temperatures of food selections. 2. Teach good oral hygiene, including the use of an antiseptic mouthwash. 3. Administer megestrol (Megace ES) to the client. 4. Teach the client to use a firm toothbrush for brushing the teeth.