Med Surg 1: Care of Patients with Multi-Drug Resistant Organisms

Which conditions are considered the clinical manifestations of infection with methicillin-resistant Staphylococcus aureus (MRSA)? Select all that apply. Pimples Bloodstream infections Abscesses Surgical site infections Impetigo

Bloodstream infections Surgical site infections

What has led to the development of methicillin-resistant Staphylococcus aureus (MRSA)? Undermedication of bacteria. Cell cloning in the human body Decades of unnecessary antibiotic use Weakened immune systems

Decades of unnecessary antibiotic use

Which is a risk factor for community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection? Recent surgery IV drug abusers Gastrointestinal surgery Use of dialysis devices

IV drug abusers

Which has led to the highest mortality rate in the United States involving methicillin-resistant Staphylococcus aureus (MRSA)? MRSA pneumonia MRSA endocarditis MRSA bacteremia MRSA septic shock

MRSA septic shock

A patient who has been imprisoned for a long time has come to the healthcare facility. To which multidrug-resistant (MDR) organism is the patient most susceptible? Acinetobacter baumannii Clostridium difficile Vancomycin-resistant enterococci (VRE) Methicillin-resistant Staphylococcus aureus (MRSA)

Methicillin-resistant Staphylococcus aureus (MRSA)

The nurse is teaching a community group about multidrug-resistant organisms. Which organism is found both in community and hospital settings? Clostridium difficile Acinetobacter baumannii Vancomycin-resistant enterococci (VRE) Methicillin-resistant Staphylococcus aureus (MRSA)

Methicillin-resistant Staphylococcus aureus (MRSA)

Which multidrug-resistant organism is resistant to beta-lactam antibiotics, such as penicillin, cephalosporin, and/or carbapenem? Methicillin-resistant Staphylococcus aureus (MRSA) Vancomycin-resistant enterococci (VRE) Clostridium difficile Acinetobacter baumannii

Methicillin-resistant Staphylococcus aureus (MRSA)

What is true regarding methicillin-resistant Staphylococcus aureus (MRSA)? Select all that apply. Methicillin-resistant Staphylococcus aureus (MRSA) is resistant to penicillin. Methicillin-resistant Staphylococcus aureus (MRSA) is susceptible to cephalosporins and carbapenems. Methicillin-resistant Staphylococcus aureus (MRSA) causes surgical site and bloodstream infections. Methicillin-resistant Staphylococcus aureus (MRSA) infection rates can be reduced by the use of alcohol-based hand rubs. Hospital-associated and community-acquired MRSA should be treated based on the bacterial strain.

Methicillin-resistant Staphylococcus aureus (MRSA) is resistant to penicillin. Methicillin-resistant Staphylococcus aureus (MRSA) causes surgical site and bloodstream infections. Methicillin-resistant Staphylococcus aureus (MRSA) infection rates can be reduced by the use of alcohol-based hand rubs.

Which infections does vancomycin-resistant enterococci (VRE) cause? Surgical site infections Impetigo Peritonitis Pimples

Peritonitis -interaabdominal and pelvic wound infection

Which medication is used to treat vancomycin-resistant enterococci (VRE) infections in patients? Select all that apply. Quinupristin-dalfopristin Metronidazole Linezolid Minocycline Meropenem

Quinupristin-dalfopristin Linezolid

Which assessment performed by the nurse monitors for decreased renal function in a patient with a multidrug-resistant (MDR) organism infection? White blood cell (WBC) count Serum creatinine level Oxygen-saturation level Surgical site monitoring

Serum creatinine level

The nurse is teaching about the pathophysiology of methicillin-resistant Staphylococcus aureus (MRSA). Which statements show a need for further instruction? Select all that apply. "The microorganism can be spread if an infected person touches the source of infection and then touches an object or surface." "Staphylococcus aureus is an aerobic, gram-negative, sporulating, coagulase-positive bacterium." "Methicillin-resistant Staphylococcus aureus (MRSA) is coated with a fibrin wall, which accepts the process of phagocytosis." "The microorganism is easily spread from one patient to another." "Methicillin-resistant Staphylococcus aureus (MRSA) is an exogenous pathogen."

Staphylococcus aureus is an aerobic, gram-negative, sporulating, coagulase-positive bacterium." "Methicillin-resistant Staphylococcus aureus (MRSA) is coated with a fibrin wall, which accepts the process of phagocytosis." "Methicillin-resistant Staphylococcus aureus (MRSA) is an exogenous pathogen."

A nurse is teaching about the precautionary measures to be taken to prevent the spread of multidrug-resistant (MDR) organism infections. Which points indicate a need for further training? Select all that apply. Clean the perineum area, and apply moisture barriers. Use alcohol-based cleansers when caring for a patient infected with Clostridium difficile. Use fecal diversion or containment systems in the stool-incontinent patient. Administer a causative antimicrobial agent to a patient infected with Clostridium difficile. Prevent the patient infected with MDR organisms from ambulating.

Use alcohol-based cleansers when caring for a patient infected with Clostridium difficile. Administer a causative antimicrobial agent to a patient infected with Clostridium difficile. Prevent the patient infected with MDR organisms from ambulating.

A female patient presents with an infection of the gastrointestinal and genital tract. What is the most likely cause? Methicillin-resistant Staphylococcus aureus (MRSA) Acinetobacter baumannii Vancomycin-resistant enterococci (VRE) Clostridium difficile

Vancomycin-resistant enterococci (VRE)

The patient presents with a wound that is red and hot with purulent drainage? What type of infection should the nurse be most concerned about? Clostridium difficile Methicillin-resistant Staphylococcus aureus (MRSA) Vancomycin-resistant enterococci (VRE) Acinetobacter baumannii

Vancomycin-resistant enterococci (VRE)