A nurse is assisting with the care of a client who is placed on droplet precautions. Which of the following actions should the nurse take?
Wear a surgical mask when within 0.6 m (2 ft) of the client.
Place a surgical mask on the client when they leave their room.
Move the client to a positive airflow room.
Remove fresh flowers from the client's room.
The Correct Answer is A
A. The nurse should wear a surgical mask when within 0.6 m (2 ft) of the client to prevent the spread of infection. This is one of the key precautions for droplet isolation.
B. Clients who are placed on droplet precautions should wear a surgical mask when they leave their room to prevent the spread of infection to others. However, it is not necessary for the nurse to place a mask on the client.
C. Clients who are placed on droplet precautions should be isolated in a private room or in a room with other clients who have the same infection. A positive airflow room is typically used for clients who are immunocompromised or have airborne infections.
D. Fresh flowers do not pose a significant risk of infection transmission and can be kept in the client's room.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The reservoir is the natural habitat of the infectious agent where it lives, grows, and multiplies. In the case of hepatitis A, the reservoir could be contaminated food, water, or infected individuals. The mouth is not the reservoir; rather, it is a route through which the infection enters the body.
B. The infectious agent is the pathogen (bacteria, virus, or other microorganisms) that causes the disease. For hepatitis A, the infectious agent is the hepatitis A virus itself. The mouth is not the infectious agent; it's the entry point for the virus.
C. A susceptible host is an individual who is at risk of infection due to factors such as weakened immunity, age, or underlying health conditions. The client with hepatitis A is a susceptible host, but the mouth is not categorized as such.
D. The portal of entry is the way an infectious agent enters a susceptible host. In the case of hepatitis A acquired through contaminated food, the mouth serves as the portal of entry. The virus enters the body when the contaminated food is ingested.
Correct Answer is ["B","D","E"]
Explanation
A. It reflects the client’s personal feelings and experiences regarding their condition. Since it is based on
the client's report rather than measurable findings, it does not qualify as objective data.
B. It provides measurable information about the client's urine output, which can be quantified and observed by the nurse. Objective data is factual and can be verified by anyone observing the situation.
C. Like the nausea report, this statement is based on the client’s personal experience and perception of
pain. It cannot be measured objectively, making it subjective.
D. Blood pressure readings are measurable and can be objectively compared to preoperative values. This information provides concrete data regarding the client's current condition.
E. The observations of swelling and warmth can be directly assessed and are factual findings that can be confirmed by the nurse during the physical examination.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.