A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus (MRSA)?

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Question 1 of 5

A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus (MRSA)?

Correct Answer: A

Rationale: The client in long-term care with furuncles and folliculitis is at high risk for MRSA.

Question 2 of 5

Based on the documented data of an older adult with a burn wound showing signs of local infection, which action should the nurse take next?

Correct Answer: C

Rationale: Signs of local infection in an older adult require cultures to assess for systemic infection.

Question 3 of 5

Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?

Correct Answer: A

Rationale: The patient should stay out of the sun. If that is not possible, teach them to wear sunscreen when taking medications that can cause photosensitivity. The other statements are not accurate.

Question 4 of 5

The nurse working in the dermatology clinic assesses a young adult female patient who is taking isotretinoin (Accutane) to treat severe cystic acne. Which assessment finding is most indicative of a need for further questioning of the patient?

Correct Answer: A

Rationale: Because isotretinoin is teratogenic, contraception is required for women who are using this medication. The nurse will need to determine whether the patient is using other birth control methods. More information about the other patient data may also be needed, but the other data do not indicate contraindications to isotretinoin use.

Question 5 of 5

The nurse is caring for clients on a medical unit. After the shift report, which client should the nurse assess first?

Correct Answer: C

Rationale: A fever of 102.3°F in a client with pressure ulcers suggests possible infection, requiring urgent assessment.

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