44) A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
“I will wear a surgical mask within 3ft of the client”
“I will check that the room has a high-efficiency particulate air filtration system”
“I will wear an N95 respirator when providing care for the client”
“I will assign the client to a room with positive airflow”
The Correct Answer is A
Rationale:
a. Droplet precautions require healthcare workers to wear a surgical mask when within 3 feet of the client to prevent the transmission of respiratory droplets containing infectious agents like influenza.
b. While high-efficiency particulate air (HEPA) filtration systems can help improve air quality, they are not specifically required for implementing droplet precautions.
c. N95 respirators are typically reserved for airborne precautions, which are not indicated for influenza.
d. Assigning the client to a room with positive airflow is not necessary for implementing droplet precautions; standard precautions such as wearing a surgical mask are sufficient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Root cause analysis: Root cause analysis is used to investigate the underlying causes of errors or adverse events, rather than comparing performance metrics between different units or organizations.
b. Benchmarking: Benchmarking involves comparing performance metrics, such as medication error rates, against those of other similar units or organizations to identify areas for improvement and best practices.
c. Risk benefit analysis: Risk benefit analysis involves weighing the potential risks and benefits of a particular course of action, such as a medical intervention, to make informed decisions. It is not directly related to comparing performance metrics.
d. Structure audit: Structure audit involves assessing the physical or organizational aspects of healthcare delivery, such as the availability of resources or adherence to protocols, which is not specifically addressed in the scenario.
Correct Answer is C
Explanation
a. Measuring oxygen saturation requires nursing judgment and assessment skills, which are beyond the scope of practice for an assistive personnel (AP).
b. Nasal hygiene for a client with an NG tube involves specific skills and requires nursing assessment to ensure proper technique and patient comfort.
c. Pouching a client's ostomy bag involves routine care that can be safely performed by assistive personnel under the direction and supervision of a nurse.
d. Inserting a rectal suppository requires nursing judgment and assessment to determine appropriateness based on the client's condition, which is beyond the scope of practice for an AP.
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