A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Administer aspirin if the client develops a fever.

Initiate contact precautions for the client.

Assign the client to a negative-pressure airflow room.

Have visitors remain at least 0.91 m (3 feet. away from the client.

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Assign the client to a negative-pressure airflow room.

Choice A rationale:

Administering aspirin to a client with varicella zoster is not recommended due to the risk of Reye’s syndrome, a serious condition that can cause swelling in the liver and brain.

Choice B rationale:

While contact precautions are important, varicella zoster also requires airborne precautions due to its highly contagious nature. This means that simply initiating contact precautions is not sufficient.

Choice C rationale:

Assigning the client to a negative-pressure airflow room is crucial because it helps contain the airborne virus and prevents it from spreading to other areas of the hospital.

Choice D rationale:

Having visitors remain at least 0.91 m (3 feet) away from the client is a good practice, but it is not sufficient on its own to prevent the spread of the virus. Airborne precautions, including a negative-pressure room, are necessary.

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Correct Answer is A

Explanation

A. Correct. Baked chicken breast is relatively low in potassium compared to the other options.
B. Incorrect. Orange juice is high in potassium.
C. Incorrect. Sweet potatoes are high in potassium.
D. Incorrect. Cantaloupe is moderately high in potassium.

A. "You should lay down for 1 hour following a meal." B. "You should eat three large meals and two snacks per day." C. "You should only drink 2 cups of coffee per day." D. "You should elevate the head of the bed while sleeping."

Correct Answer is D

Explanation

A. Incorrect. Laying down immediately after a meal can worsen GERD symptoms. Remaining upright for at least 23 hours after eating is recommended.
B. Incorrect. Eating large meals can exacerbate GERD symptoms. Smaller, more frequent meals are advised.
C. Incorrect. While coffee can trigger GERD symptoms in some, specifying a particular number of cups may not be appropriate. Avoiding triggers and monitoring symptoms is the general advice.
D. Correct. Elevating the head of the bed while sleeping helps prevent stomach acid from flowing back into the esophagus, reducing nighttime GERD symptoms.

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A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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