An appropriate isolation procedure for the nurse to implement ...

[nmorano1]

An appropriate isolation procedure for the nurse to implement when working with a client who is found to have methicillin-resistant Staphylococcus aureus (MRSA) is to:
 
  1. Leave all linen in the client's room
  2. Place specimen containers in plastic bags for transport
  3. Wipe the stethoscope off before removing it from the room
  4. Remove the mask and goggles first when leaving the client's room

Question 2

Older adult clients may react differently to infectious processes and a nurse suspects that her older adult client may be experiencing hypostatic pneumonia. The nurse must be alert to atypical signs and symptoms, such as:
 
  1. Hypotension
  2. Confusion
  3. Erythema
  4. Chills

[vish98]

Answer to Question 1

ANS: 2
Specimen containers should be placed in plastic bags for transport with a label on the outside of the bag. Linen should be placed in an impervious linen bag and may be removed from the client's room. Bags should be tied securely at the top with a knot. For the person infected with MRSA, equipment remains in the room. After discharge or with the discontinuation of isolation, client care equipment is properly cleaned and reprocessed, and single-use items are discarded.
Gloves should be removed first when leaving the client's room.

Answer to Question 2

ANS: 2
An infection in older adults may not present with typical signs and symptoms. Atypical symp-toms such as confusion, incontinence, or agitation may be the only symptoms of an infectious illness. An unexplained increased heart rate, confusion, or generalized fatigue may be the only symptoms of pneumonia in the older adult. Hypotension is not one of the atypical symptoms of an older adult experiencing infection. It may be a symptom of a systemic infection related to an elevation in body temperature (regardless of age).
Erythema is a typical symptom of a localized infection.
Chills are a typical symptom of a systemic infection.

[nmorano1]

Excellent

[lcapri7]

TYSM