Microbiology · practice question

A 52-year-old client on a medical-surgical unit is being evaluated for nursing care related to sterile technique. Assessment data include wound culture grows MRSA with spreading erythema. Which nursing action is the priority to keep the client safe?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026microbiology

Apply the first intervention in the policy manual without a current assessment.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Apply restraints without assessing less restrictive safety options first.Leave the client alone to promote independence while finishing charting.

Answer and explanation

Correct answer

B. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

Why

Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.

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A 52-year-old client on a medical-surgical unit is being evaluated for nursing care related to sterile technique. Assessment data include wound culture grows MRSA with spreading erythema. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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