A nurse is assisting with developing the plan of care for a client who requires airborne precautions. Which of the following actions should the nurse suggest?

Wear gloves when entering the client's room.

Encourage the client to ambulate in the hall.

Wear an N95 respirator mask.

Provide a positive pressure airflow room.

Answer and Explanation

The Correct Answer is C

A.   Gloves are not specifically required for airborne precautions unless contact with infectious secretions or materials is anticipated. Airborne precautions primarily focus on preventing inhalation of infectious droplet nuclei. Therefore, wearing gloves is not necessary solely due to airborne precautions.
B.   This option is not related to airborne precautions. Encouraging ambulation in the hall is a general nursing intervention and does not specifically address preventing the transmission of airborne pathogens.
C.   An N95 respirator mask is designed to filter out 95% of airborne particles, including those containing infectious agents. It provides respiratory protection for healthcare workers who may be exposed to airborne pathogens during procedures such as aerosol-generating procedures (e.g., suctioning, bronchoscopy) or when caring for clients with airborne infections.
D.   Positive pressure airflow rooms are typically used for clients requiring protective isolation (e.g., immunocompromised clients) but are not specifically required for clients on airborne precautions. Negative pressure airflow rooms are preferred for clients on airborne precautions because they prevent the spread of airborne pathogens to other areas of the facility.

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Correct Answer is A

Explanation

A. Administering tube feedings while the client is in a supine (flat on their back) position can increase the risk of aspiration. Ideally, clients should be positioned upright or at a 30-45 degree angle during and after tube feedings to reduce the risk of reflux and aspiration.
B. Flushing the NG tube with tap water after feeding is just a standard practice to prevent clogging and maintain tube patency.

C. Administering tube feedings by gravity using a syringe barrel is an appropriate method. This allows for controlled and slow administration of the feeding solution, minimizing the risk of overfeeding or complications.
D. Aspirating gastric residual before initiating tube feedings is a standard practice to assess the amount of residual contents in the stomach. However, the amount of residual aspirate that warrants intervention can vary based on institutional policies and the client's condition.

A. Celery B. Pears with skin C. Canned pineapple D. Mashed potatoes

Correct Answer is B

Explanation

A. Celery is a low-calorie vegetable that contains some fiber (about 1.6 grams per 100 grams). While it provides some fiber, there are other options with higher fiber content.

B. Pears with their skin are an excellent source of dietary fiber. A medium-sized pear with skin provides about 5.5 grams of fiber. The skin of the pear is particularly rich in insoluble fiber, which aids in digestion and helps prevent constipation.
C. Canned pineapple generally has lower fiber content compared to fresh fruits. Most of the fiber in pineapple comes from the fruit itself, and processing can reduce the fiber content. Therefore, canned pineapple is not as high in fiber compared to other options.
D. Mashed potatoes, especially if they are peeled, are relatively low in fiber. They are primarily a starchy vegetable and do not provide significant amounts of dietary fiber unless consumed with the skin.

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A nurse is assisting with developing the plan of care for a client who requires airborne precautions. Which of the following actions should the nurse suggest?

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