Fundamentals of Nursing Q 265



A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA) cultured from the wound. Contact precautions are initiated. Which rule must be observed to follow contact precautions?
  
     A. A clean gown and gloves must be worn when in contact with the client.
     B. Everyone who enters the room must wear a N-95 respirator mask.
     C. All linen and trash must be marked as contaminated and send to biohazard waste.
     D. Place the client in a room with a client with an upper respiratory infection.
    
    

Correct Answer: A. A clean gown and gloves must be worn when in contact with the client.

A clean gown and gloves must be worn when any contact is anticipated with the client or with contaminated items in the room. Visitors might also be asked to wear a gown and gloves. Patients are asked to stay in their hospital rooms as much as possible. They should not go to common areas, such as the gift shop or cafeteria. They may go to other areas of the hospital for treatments and tests.

Option B: A respirator mask is required only with airborne precautions, not contact precautions. Healthcare providers will put on gloves and wear a gown over their clothing while taking care of patients with MRSA.
Option C: All linen must be double-bagged and clearly marked as contaminated. When leaving the room, healthcare providers and visitors remove their gown and gloves and clean their hands.
Option D: The client should be placed in a private room or in a room with a client with an active infection caused by the same organism and no other infections. Whenever possible, patients with MRSA will have a single room or will share a room only with someone else who also has MRSA.