A client with MRSA is placed on contact precautions. Which instruction should the nurse give to the unlicensed assistive personnel (UAP) assisting with care?

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Question 1 of 5

A client with MRSA is placed on contact precautions. Which instruction should the nurse give to the unlicensed assistive personnel (UAP) assisting with care?

Correct Answer: B

Rationale: Wash hands with soap and water after removing gloves' is key for MRSA contact precautions. Soap removes spores, per CDC, unlike alcohol . Gloves/gown are standard, mask unnecessary unless airborne risk. B prevents spread, making it best.

Question 2 of 5

In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?

Correct Answer: C

Rationale: Security assists trust development in a 6-month-old. Per Erikson's trust vs. mistrust stage, consistent, reliable care builds trust, per developmental theory. Food , warmth , and comfort contribute but security encompasses predictability and safety, foundational for trust.

Question 3 of 5

The emergency room nurse admits a child who experienced a seizure at school. The parent comments that this is the first occurrence and denies any family history of epilepsy. What is the best response by the nurse?

Correct Answer: B

Rationale: The seizure may or may not mean your child has epilepsy' is best. A single seizure doesn't confirm epilepsy, requiring further evaluation, per neurology standards. A assumes diagnosis, C oversimplifies, and D overpromises. B educates accurately, reducing anxiety.

Question 4 of 5

Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?

Correct Answer: A

Rationale: Cereal should be added first at 6 months. Iron-fortified cereal meets nutritional needs and developmental readiness, per AAP guidelines. Eggs and meat risk allergies, juice lacks priority nutrients. A supports healthy growth.

Question 5 of 5

The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider?

Correct Answer: A

Rationale: Height and weight percentiles varying widely should be reported immediately. Significant discrepancies at 2 years suggest growth issues, per pediatric standards, needing evaluation. Slowed growth , height differences , and weight fluctuations are less urgent. A flags potential pathology.

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