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    Ati lpn med surg midterm proctored exam

    What is the primary reason for implementing contact precautions for a patient with MRSA?

    Explanation & Rationale

    A. To prevent transmission of MRSA by airborne particles: Methicillin-resistant Staphylococcus aureus (MRSA) is not an airborne pathogen; it does not travel on small nuclei that remain suspended in the air. Airborne precautions require N95 respirators and negative pressure rooms, which are unnecessary for MRSA. Its primary mode of spread is through physical contact. B. To ensure the patient receives adequate hydration: Hydration status is a physiological need that is managed through fluid intake protocols and has no relationship to infection control precautions. Precautions are designed to protect the environment and other patients, not to monitor the patient's fluid balance. This choice confuses clinical care with infection prevention. C. To protect the patient's normal flora from MRSA: Contact precautions are designed to keep the patient's MRSA from reaching others, not to protect the patient from their own colonization. The patient's normal flora is already disrupted by the presence of the resistant organism. These measures are an extrinsic barrier for the benefit of the community. D. To prevent MRSA transmission through direct or indirect contact: MRSA is easily spread via the hands of healthcare workers or contaminated surfaces such as bedrails and medical equipment. Contact precautions, including the use of gowns and gloves, provide a physical barrier to break the chain of infection. This is the evidence-based standard for containing multi-drug resistant organisms.

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