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72.ID: 16645678435Contact precautions are initiated for a client with methicillin-resistant Staphylococcus aureus(MRSA) infection. The nurse, providing instructions to a nursing assistant about caring for the client, tells the assistant:F.To transfer the client to a semiprivate room G.That gloves only are needed to care for the client H.To wear gloves and a gown when changing the client's bed linen. CorrectI.To wear a gown when caring for the client and remove the gown immediately after leaving the client’s room Rationale: Contact precautions require the use of gloves, gown, and goggles if direct client contact is anticipated. Goggles are worn to protect the mucous membranes of the eye during interventions that may produce splashes of blood or body fluids, secretions, or excretions. The
client should be placed in a private room or, if a private room is not available, in a semiprivate room with another client who has active infection with the same microorganism but no other infection. The nursing assistant would remove the protective gear before leaving the client’s room.73.ID: 383718157A sedated client is being transported to the radiology department on a stretcher. Which type of restraint should the nurse suggest applying to help ensure the client’s safety? J.Belt CorrectK.Wrist L.Elbow M.Mitten Rationale: A belt restraint is a device that is wrapped around the client’s waist to secure the client to bed or to a stretcher. An elbow restraint consists of a piece of fabric with slots into whichtongue blades are inserted; the device is wrapped around the elbow area to keep it immobile. A mitten restraint is a thumbless device that covers the client’s hand and is used to restrain the client’s hand, preventing the client from dislodging invasive equipment (e.g., an intravenous line). A wrist restraint is a device used to immobilize an arm that does not allow movement as a mitten restraint would.