A nurse in an emergency department is planning care for a group of clients. Which of the following clients should the nurse plan to place in an airborne isolation room?

A client who has respiratory syncytial virus

A client who has varicella

A client who is undergoing a bone marrow transplant

A client who has Clostridioides difficile

Answer and Explanation

The Correct Answer is B

Rationale

A. A client who has respiratory syncytial virus: RSV is spread through droplet and direct contact, not airborne transmission. Standard precautions with droplet precautions are sufficient, so an airborne isolation room is not required.

B. A client who has varicella: Varicella (chickenpox) is transmitted via airborne particles. Placing the client in an airborne isolation room with negative pressure prevents the spread of infectious aerosols to other clients and staff, making this the appropriate intervention.

C. A client who is undergoing a bone marrow transplant: While these clients are immunocompromised and may require protective isolation, the need is for neutropenic precautions, not airborne isolation, unless they are exposed to a specific airborne infection.

D. A client who has Clostridioides difficile: C. difficile is transmitted via contact with spores, not airborne routes. Contact precautions and proper hand hygiene with soap and water are required, but an airborne isolation room is unnecessary.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale

A. Decreased serum potassium: Dehydration can lead to electrolyte imbalances, including hypokalemia. Muscle cramps and constipation are common signs of low potassium levels, as potassium is essential for normal muscle and nerve function. Monitoring electrolytes helps guide appropriate replacement therapy.

B. Decreased BUN: Dehydration typically causes an elevation in BUN due to hemoconcentration and reduced renal perfusion. A decreased BUN would not be expected in fluid volume deficit.

C. Decreased hematocrit (Hct): Hematocrit usually increases during dehydration because of reduced plasma volume, leading to hemoconcentration. A decreased Hct would suggest anemia or fluid overload, not dehydration.

D. Decreased specific gravity: Specific gravity of urine increases with dehydration as the kidneys concentrate urine to conserve water. A decreased specific gravity indicates diluted urine, which is not consistent with fluid deficit.

A. The provider obtains verbal consent for the procedure without witnessing the client's signature. B. The provider performing the procedure is responsible for obtaining informed consent. C. The nurse's role is to provide the client with initial information about the procedure prior to obtaining informed consent. D. Clients are unable to change their mind once a consent form is signed.

Correct Answer is B

Explanation

Rationale

A. The provider obtains verbal consent for the procedure without witnessing the client's signature: While verbal consent may be appropriate for some low-risk procedures, most invasive or high-risk procedures require written consent. Obtaining consent without documentation does not meet legal or ethical standards for informed consent and may place both the client and provider at risk.

B. The provider performing the procedure is responsible for obtaining informed consent: The provider who will perform the procedure must ensure the client understands the risks, benefits, alternatives, and potential outcomes. This responsibility ensures the client receives accurate, procedure-specific information from the person most qualified to answer questions and address concerns.

C. The nurse's role is to provide the client with initial information about the procedure prior to obtaining informed consent: The nurse’s role is to reinforce teaching, clarify information, and ensure the client comprehends the procedure. Nurses can answer questions and verify understanding but do not obtain legal consent for invasive procedures.

D. Clients are unable to change their mind once a consent form is signed: Clients have the right to withdraw consent at any time, even after signing the consent form. Respecting autonomy means that the client can refuse or discontinue a procedure without penalty, and this right must be communicated as part of the informed consent process.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in an emergency department is planning care for a group of clients. Which of the following clients should the nurse plan to place in an airborne isolation room?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dehydration and reports muscle cramps and constipation. Which of the following laboratory values should the nurse expect?

Correct Answer is A

Explanation

A charge nurse is providing an in-service to a group of nurses about the components of informed consent. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is providing discharge teaching for a client who will be receiving oxygen therapy at home. Which of the following instructions should the nurse include in the teaching?

A nurse is evaluating an assistive personnel (AP) who is changing a client's bed linens. Which of the following actions by the AP demonstrates medical asepsis?

A nurse is providing teaching to a client who is anxious about their mastectomy scheduled in 2 hr. Which of the following complementary therapies should the nurse recommend to the client?

A nurse is caring for a client who is immobile and developing skin breakdown. Which of the following actions should the nurse take?

A nurse is performing skin assessments for a group of clients. Which of the following images indicates a wound that is healing by secondary intention?

A nurse is caring for a client who has a clogged NG tube. Which of the following actions should the nurse take?

A nurse is caring for a client who has a urinary tract infection. Exhibits The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

A nurse is caring for a client on a medical-surgical unit. Exhibits The nurse is planning the client's care. Which of the following actions should the nurse include? Select the 4 actions the nurse should include in the plan of care.