A hospitalized child has developed a methicillin-resistant ...

[mp14]

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)

Question 2

Which action is initiated when a child is scratched by a rabid animal?
 
  a. No intervention unless the child becomes symptomatic
  b. Administration of immune globulin around the wound
  c. Administration of rabies vaccine on days 3, 7, 14, and 28
  d. Administration of both immune globulin and vaccine as soon as possible after exposure

[kjo;oj]

Answer to Question 1

B, C, D
Vancomycin is used to treat MRSA along with mupirocin ointment to the nares. The client is placed in contact isolation to prevent spread of the infection to other clients. The infection is not transmitted by the airborne route so only contact isolation is required. The infection is resistant to cephalosporins.

Answer to Question 2

D
Human rabies immune globulin and the first dose of the rabies vaccine are given after exposure. Transmission of rabies can occur from bites with contaminated saliva, scratches from the claws of infected animals, airborne transmission in bat-infested caves, or in a laboratory setting. Rabies is fatal if no intervention is taken to prevent the disease. Human rabies immune globulin is infiltrated locally around the wound and the other half of the dose is given intramuscularly. This is only part of the treatment after rabies exposure. The rabies vaccine is given within 48 hours of exposure and again on days 3, 7, 14, and 28.

[mp14]

Thanks for the timely response, appreciate it

[aruss1303]

Excellent