Difficulty: Medium
Average Score: 76%
Simulated
While changing the dressing of a client who is immobile, the nurse notices the boundary of the wound has increased. Given there is a positive methicillin-resistant Staphylococcus aureus (MRSA) laboratory result, which action is the most important for the nurse to take?
Correct answer
C
Rationale
Initiating contact precautions prevents the spread of MRSA, a highly contagious infection, protecting others in the healthcare setting.