# The nurse is caring for a client with a draining wound culture positive for MRSA. Which infection control actions are appropriate? Select all that apply.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393825&lang=en  
> language: en  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## Question

The nurse is caring for a client with a draining wound culture positive for MRSA. Which infection control actions are appropriate? Select all that apply.

1

Keep a surgical mask on the client at all times.

2

Use the same blood pressure cuff for the next client after a quick wipe.

3

Wear a gown and gloves when entering the room for direct care.

4

Perform hand hygiene before leaving the room.

5

Remove PPE in the hallway after leaving the room.

6

Use dedicated or disposable noncritical equipment when possible.

## Explanation

MRSA with a draining wound requires contact precautions in addition to standard precautions. Gown and gloves, hand hygiene, and dedicated equipment reduce contact transmission. Shared equipment requires proper disinfection, masks are not routinely required for contact spread, and PPE should be removed according to policy before leaving the room or care area.

## In-depth explanation

Clinical Judgment
Match the organism and drainage to contact transmission risk.

Memory Tip
MRSA contact precautions: gown, gloves, hand hygiene, dedicated equipment.

KR vs US
NCLEX expects Transmission-Based Precautions layered on top of Standard Precautions.

## Clinical scenario

Clinical Practice Guide
CDC guidance supports Contact Precautions and hand hygiene for MDROs including MRSA in acute care settings.

Caution
Standard Precautions still apply even when Contact Precautions are added.

## Key concepts

- **MRSA** — Methicillin-resistant Staphylococcus aureus, an MDRO that may spread by contact with infected or colonized sites.
- **Contact Precautions** — Transmission precautions using gown, gloves, hand hygiene, equipment control, and environmental cleaning.
- **Dedicated Equipment** — Equipment reserved for one client to reduce pathogen transfer between clients.

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