In caring for a client with a wound infected with MRSA, which cleansing direction is correct?

In caring for a client with a wound infected with MRSA, which cleansing direction is correct?

• A. Cleanse from inner surface to outer surface
• B. Cleanse from outer surface to inner surface
• C. Cleanse in circular motions around the wound
• D. Wipe with dry cloth only

Answer: (B)

In cleansing an MRSA-infected wound, start at the outer surface and work toward the inner surface. This follows the clean-to-dirty approach: the surrounding skin is less contaminated, so wiping from the outer areas toward the wound helps prevent pushing bacteria into the wound and reduces the chance of spreading the infection. Use a fresh portion of the cleaning material with each stroke, avoid circular motions that can keep spreading bacteria around the area, and never rely on a dry cloth alone for proper cleansing.

In cleansing an MRSA-infected wound, start at the outer surface and work toward the inner surface. This follows the clean-to-dirty approach: the surrounding skin is less contaminated, so wiping from the outer areas toward the wound helps prevent pushing bacteria into the wound and reduces the chance of spreading the infection. Use a fresh portion of the cleaning material with each stroke, avoid circular motions that can keep spreading bacteria around the area, and never rely on a dry cloth alone for proper cleansing.