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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Indirect contact transmission occurs when a person touches a contaminated object or surface (fomite) and then touches their body, which can lead to infection. In this case, the client acquired the infection by touching a contaminated towel, making this an example of indirect contact transmission.
B. A vector is an organism, often an insect, that transmits pathogens from one host to another. Examples include mosquitoes transmitting malaria or ticks transmitting Lyme disease. Staphylococcus aureus does not involve a vector in its transmission; thus, this option is incorrect.
C. Droplet transmission occurs when respiratory droplets carrying infectious pathogens are expelled from an infected person and enter another person’s mucous membranes (e.g., nose, mouth, eyes) during actions like coughing or sneezing.
D. Airborne transmission involves pathogens that are carried in the air over long distances and can be inhaled by individuals. Diseases such as tuberculosis are transmitted this way. However, Staphylococcus aureus infection through touching a towel does not involve airborne transmission.

A. Quaternary B. Primary C. Secondary D. Tertiary

Correct Answer is D

Explanation

A. Quaternary prevention focuses on preventing unnecessary interventions or overmedicalization. It aims to protect patients from harm and ensure that they receive only the necessary care. Administering insulin does not fit this definition.
B. Primary prevention involves measures taken to prevent the onset of disease or injury before it occurs. This includes health education, vaccinations, and lifestyle changes to prevent diseases. Administering insulin does not fall under this category, as it does not prevent diabetes but rather manages it.
C. Secondary prevention aims to detect and treat diseases early to reduce their impact. This includes screenings and interventions that occur after a disease has developed but before significant symptoms appear. Administering insulin is not a preventive measure in this context.
D. Tertiary prevention involves managing and reducing the impact of an existing disease. It focuses on rehabilitation and maintaining quality of life. Administering insulin to a client with type 1 diabetes is an example of tertiary prevention, as it is part of the management and treatment of a chronic condition to prevent complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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