A nosocomial infection of Methicillin-resistant Staphylococcus aureus was detected in the client, who has been put on contact precautions as a result (MRSA). What protective equipment should a nurse prepare before providing colostomy care?

Correct Answer: D

Rationale: MRSA contact precautions require gloves, gown, goggles, and mask/face shield for colostomy care, per NCLEX infection control. Gloves/gown , goggles , or shoe protectors are incomplete. Full PPE prevents spread, making D correct.

Correct Answer: B

Rationale: Chronic pain differs from acute pain primarily in its duration, persisting beyond six months, often without a clear end even after the initial cause has healed. Acute pain, by contrast, is short-lived, typically resolving within days to weeks as the body recovers from injury or surgery. Choice A is incorrect because pain lasting less than one month aligns with acute pain, not chronic. Choice C, suggesting chronic pain resolves with treatment, is misleadingwhile manageable, chronic pain often persists despite interventions, unlike acute pain, which usually subsides with healing. Choice D, claiming chronic pain is always less severe, is false; its intensity varies widely and can be debilitating, unlike acute pain's typically sharp but temporary nature. Choice B correctly highlights the key distinctionchronic pain's extended duration over six monthsmaking it a critical factor in nursing care, requiring long-term strategies like pain management and emotional support rather than just acute symptom relief.

Correct Answer: B

Rationale: Morphine is commonly used for chronic pain management, especially in severe cases like cancer or post-surgical pain persisting beyond acute phases. As an opioid, it targets the central nervous system to dull pain perception, offering relief where milder drugs fail. Choice A, aspirin, is better suited for mild to moderate acute pain or inflammation, lacking the potency for chronic, intense pain. Choice C, antibiotics, treat infections, not pain, making them irrelevant here. Choice D, antidepressants, may adjunctively manage chronic pain (e.g., neuropathic pain) by altering neurotransmitters, but they're not primaryopioids like morphine take precedence for severe cases. Choice B is correct, reflecting its widespread use in chronic pain protocols, though nurses must monitor for tolerance, dependence, and side effects, balancing efficacy with safety in long-term care plans.

Correct Answer: A

Rationale: The basis for reluctance to take prescribed opioid analgesics in a client with chronic pain is likely fear of addiction, a common concern rooted in opioids' reputation for dependence. Clients may worry about physical or psychological reliance, even when medically justified, due to stigma or past experiences. Choice B, desire for more pain, is illogicalpain prompts treatment-seeking, not avoidance, unless psychological factors like self-punishment exist, which isn't typical. Choice C, allergic reaction, could deter use, but reluctance suggests hesitation, not a confirmed reaction, and allergies are less common than addiction fears. Choice D, lack of finances, might limit access but isn't implied herereluctance points to personal choice, not cost. Choice A is correct, highlighting a key barrier nurses address through education, explaining safe use, monitoring, and tapering plans to ease fears, ensuring pain relief without compromising trust or safety.

Correct Answer: D

Rationale: The nurse understands the primary goal for clients with chronic pain is the ability to enjoy life again, focusing on quality of life despite persistent pain. Complete elimination isn't feasible, so enhancing function, mood, and activity tolerance takes precedence. Choice A, elimination of all pain, is unrealisticchronic pain endures, and treatments aim to manage, not erase it. Choice B, return to full physical ability, may be limited by pain or disease; partial improvement is more practical. Choice C, significant reduction of pain, is a means, not the goalreduction aids enjoyment but isn't the endpoint. Choice D is correct, embodying holistic nursing aimsthrough pain control, therapy, and support, clients regain pleasure in daily life, aligning with realistic, patient-centered outcomes for chronic conditions.