A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

Airborne

Droplet

Contact

Protective environment

Answer and Explanation

The Correct Answer is C

A. Airborne precautions are used for diseases transmitted by tiny particles that remain suspended in the air and are inhaled, such as tuberculosis or measles. Mononucleosis is not spread through
the airborne route.

B.   Droplet precautions are for diseases transmitted by respiratory droplets, like influenza or pertussis. While mononucleosis can be transmitted through respiratory secretions, it's primarily spread through direct contact with saliva.
C.   Contact precautions involve preventing the transmission of pathogens by direct or indirect contact. Given that mononucleosis is transmitted through saliva, contact precautions, including wearing gloves and gowns, are appropriate to prevent its spread.
D.   Protective environment precautions are used to protect immunocompromised patients from outside pathogens, such as those recovering from bone marrow transplants. They are not applicable for a client with mononucleosis.

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Correct Answer is A

Explanation

A. A decreased level of consciousness and vomiting may indicate a potentially serious condition such as increased intracranial pressure, electrolyte imbalance, or metabolic disorder. Immediate assessment and intervention are necessary to determine the cause and provide appropriate treatment.
B. Cellulitis accompanied by a low-grade fever is concerning but may not require immediate attention compared to a decreased level of consciousness and vomiting.
C. A pain rating of 7 after receiving analgesia 30 minutes ago is important to address, but it may not be as urgent as assessing a client with a decreased level of consciousness and vomiting.
D. A blood glucose level of 160 mg/dL in a client with type 2 diabetes mellitus may require monitoring and intervention, but it may not be as urgent as assessing a client with a decreased level of consciousness and vomiting.

A. Insulin aspart B. Regular Insulin C. Insulin glargine D. Insulin detemir E. Insulin lispro

Correct Answer is ["A","B","E"]

Explanation

A. Insulin aspart: Insulin aspart is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection.
B. Regular Insulin: Regular insulin is a short-acting insulin that can be mixed with intermediateacting insulins, such as NPH insulin, to provide both short and intermediate-acting coverage in a single injection.
C. Insulin glargine: Insulin glargine is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
D. Insulin detemir: Insulin detemir is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
E. Insulin lispro: Insulin lispro is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection

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A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

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