When caring for a client with methicillin-resistant S. aureus (MRSA), the community health nurse should know
a. Persons with MRSA usually have a chronic illness.
b. MRSA is a hospital-acquired infection and not often seen in the community.
c. VRE (vancomycin-resistant Staphylococcus aureus) follows MRSA.
d. MRSA is becoming more common in the community.
ANS: D
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A client has spastic lower limbs and bouts of severe pain. A nursing intervention useful for helping
the client learn to manage the pain would be a. teaching relaxation techniques. b. using cognitive behavior therapy. c. performing a holistic lifestyle assessment. d. obtaining an overall quality-of-life assessment.
An elderly chronically confused client with Alzheimer's disease frequently states that the nursing home is her home to which she has invited people for a party. The most appropriate nursing response to this client's perception is to
a. give detailed explanations about the nursing home. b. "go along" with the client's confused statements. c. provide a lot of sensory stimulation. d. reorient the client as often as necessary.
The patient has been receiving amitriptyline (Elavil) for 2 weeks. He tells the nurse he doesn't think this medicine is working, as he is still depressed. What is the best response by the nurse?
1. "It is working, but it can take several weeks to have an effect." 2. "You might still feel depressed, but you are looking much better." 3. "This may not be the best medicine for you; I'll call your doctor." 4. "It is working, but it can take several months to have an effect."
An older client diagnosed with Alzheimer's disease continually tries to get out of bed at night. Which alternative safety measure would the nurse choose to use with this client?
1. Explain all procedures and treatments. 2. Place a bed safety monitoring device on the bed. 3. Orient the client to surroundings. 4. Use relaxation techniques.