Fundamentals of Nursing

A home health nurse has entered a home to complete an admission assessment on a patient who has a…

A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?

  1. A Shake the patient’s hand
  2. B Place the nursing supply began a clean, dry surface.
  3. C Obtain the patient’s written consent for home health care
  4. D Perform hand hygiene per the agency protocol Correct answer

Explanation

Core Concept: Infection control and standard precautions in home health nursing. Hand hygiene is the single most effective measure to prevent the transmission of infections like MRSA.

Clinical Presentation:

  • N/A (Procedural question).

Diagnosis:

  • First-line diagnostic tool: N/A.
  • Most accurate (gold standard) test: N/A.

Management:

  • Acute management: Perform hand hygiene immediately upon entering the patient's home and before any patient contact or handling equipment.
  • Definitive management: Adhere to contact precautions (gloves, gowns) when dealing with MRSA, and maintain a clean environment.

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