A nurse is caring for a 65-year-old client admitted to the hospital with symptoms of productive cough, malaise, fever, joint pain, and dehydration. What type of isolation should the patient be placed on and what type of PPE should be used?
Airborne isolation with use of N95 mask and negative air pressure room, gloves, and gown.
Droplet precautions with use of N95 mask and keep the door closed.
Contact precautions with use of gown and gloves.
Droplet precautions with use of surgical mask and keep the door closed.
The Correct Answer is D
A reason:
Airborne isolation with an N95 mask and negative air pressure room is not necessary for symptoms typically associated with respiratory viruses like influenza.
B reason:
Droplet precautions with an N95 mask are not required unless there is a risk of aerosol-generating procedures. A surgical mask is typically sufficient.
C reason:
Contact precautions with a gown and gloves are used for infections spread by direct contact, not for respiratory infections.
D reason:
Droplet precautions with a surgical mask and keeping the door closed are correct. These precautions prevent the spread of infections that are transmitted through respiratory droplets.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A reason:
Checking the patient's pulse and temperature is important but not the priority. The elevated blood pressure needs to be reassessed first to confirm accuracy before taking further actions.
B reason:
Having the UAP repeat the blood pressure is not appropriate. The nurse should personally repeat the measurement to ensure accuracy and assess for any potential issues immediately.
C reason:
Repeating the blood pressure is the priority. An initial high reading needs to be confirmed to rule out any measurement error and to determine if immediate intervention is needed.
D reason:
Administering the patient's morning medications may be necessary, but confirming the blood pressure reading is more urgent to ensure that any medications given are appropriate for the current condition.
Correct Answer is B
Explanation
A reason:
A client with a history of atrial fibrillation on continuous ECG monitoring requires close monitoring, but this can be done remotely. They do not necessarily need to be closest to the nurses' station.
B reason:
A client who sustained a head injury and is having periods of confusion should be assigned to the room closest to the nurses' station. This client requires frequent monitoring and quick access to medical staff due to the risk of worsening confusion or other complications.
C reason:
A client with a severe migraine headache needs a quiet environment and supportive care but does not require the same level of close monitoring as the client with confusion.
D reason:
A client with a suspected diagnosis of TB should be in a negative pressure room to prevent the spread of infection, which is typically not located closest to the nurses' station.
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