A community health nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?

Rubella

Pertussis

Influenza

Varicella

Answer and Explanation

The Correct Answer is D

A. Rubella: This disease is primarily spread through respiratory droplets, requiring standard precautions for management. It is important for nurses to understand that while rubella can be contagious, airborne precautions are not necessary for this condition.

B. Pertussis: Also known as whooping cough, pertussis is transmitted through respiratory droplets, which necessitates droplet precautions rather than airborne precautions. Understanding the mode of transmission helps healthcare workers implement the appropriate level of precautions to prevent the spread of infection.

C. Influenza: Influenza is primarily transmitted through respiratory droplets. Although droplet precautions are necessary when caring for patients with influenza, airborne precautions are not required. Knowledge of these distinctions is essential for nurses to ensure effective infection control measures.

D. Varicella: Varicella, or chickenpox, is classified as an airborne disease because it spreads through respiratory droplets and direct contact with the rash. Airborne precautions are necessary to prevent transmission, especially in healthcare settings where vulnerable populations may be present. Understanding the specific precautions for airborne diseases is crucial for maintaining patient and staff safety.

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Correct Answer is B

Explanation

A. Red tag, life-threatening injury requiring immediate intervention: Reserved for clients with compromised airway, severe hemorrhage, or life-threatening injuries requiring immediate treatment. This client is stable, alert, and has no signs of life-threatening conditions.

B. Yellow tag, serious injury requiring delayed but urgent treatment: Applied to clients with significant but non-life-threatening injuries that require medical attention. The client has a large laceration with bleeding and is unable to walk but remains hemodynamically stable, making this the most appropriate classification.

C. Green tag, minor injury requiring minimal treatment: Used for ambulatory clients with minor injuries. The client's inability to walk due to a wound requiring further care excludes them from this category.

D. Black tag, non-survivable injury with expected poor outcome: Assigned to clients with fatal injuries or no signs of life. The client remains alert, oriented, and hemodynamically stable, so this classification is not appropriate.

A. Notify the provider. B. Check the condition of the client. C. Report the occurrence to the unit manager. D. Complete an incident report.

Correct Answer is B

Explanation

A. Notify the provider: While it is essential to inform the provider about the medication error, the immediate priority is to assess the client's condition first to determine if any adverse effects have occurred. The provider can be notified after ensuring the client is stable.

B. Check the condition of the client: The first action the nurse should take is to assess the client's condition. This includes monitoring for any immediate adverse effects or reactions related to the wrong medication administered. Ensuring the client's safety is the top priority in this situation.

C. Report the occurrence to the unit manager: Reporting the error to the unit manager is an important step in the process but should be done after assessing the client's condition. The immediate focus must be on the client's well-being before addressing administrative aspects of the error.

D. Complete an incident report: Completing an incident report is necessary for documenting the error and ensuring quality improvement measures, but it is not the first action. The nurse must first prioritize the assessment and safety of the client.

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A community health nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?

Nursing Test Bank

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