A nurse is assisting with the admission of a client who has influenza. Which of the following isolation precautions should the nurse plan to initiate?
Contact
Airborne
Protective environment
Droplet
The Correct Answer is D
A. Contact
Used for organisms like MRSA or C. difficile-not influenza alone.
B. Airborne
Reserved for diseases like tuberculosis, measles, or varicella.
C. Protective environment
For immunocompromised patients (e.g., post-transplant)-not for clients with infectious diseases like influenza.
D. Droplet
Influenza is spread via respiratory droplets; droplet precautions are necessary, including a mask and spatial separation of at least 3 feet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Warn the client about seclusion for hallucinations.
Hallucinations are part of the illness-this is inappropriate and non-therapeutic.
B. Keep security personnel constantly visible.
Can increase paranoia and agitation.
C. Agree that the hallucinations are real.
Reinforcing delusions/hallucinations is not therapeutic.
D. Collaborate with the client to develop a daily physical exercise routine.
Encourages routine and provides a safe outlet for aggression.
Correct Answer is ["D","E"]
Explanation
A. Exhibits violent behavior
This is not typical for dependent personality disorder.
B. Acts impulsively
Impulsivity is more associated with borderline personality disorder.
C. Lacks empathy
Lacking empathy is more characteristic of antisocial personality disorder.
D. Behaves submissively
Clients with dependent personality often avoid conflict and defer decisions.
E. Clings to others
They show excessive need to be cared for and fear separation.
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