Difficulty: Medium
Average Score: 86%
Simulated
Passage / Scenario
A 57-year old female client with left upper arm open wound infection (methicillin-resistant Staphylococcus aureus [MRSA]) and cellulitisIndicate whether the nursing actions are Indicated, Contraindicated, or Non-essential for the client's care.
Correct answer
A, C, E
Rationale
A (Indicated): Contact precautions prevent MRSA spread. C (Indicated): Elevation reduces swelling. E (Indicated): IV access is needed for antibiotics. B (Contraindicated): Cold compress may worsen tissue damage. D (Non-essential): Frequent cultures are unnecessary. F (Non-essential): Heparin is not indicated unless clotting risk exists.