A nurse is caring for a client.
Which of the following actions should the nurse take? Select all that apply.
Wear a protective gown while caring for the client.
Place the client in a private room.
Wear an N-95 respirator while caring for the client.
Place the client in a negative pressure room.
Place a mask on the client when they leave their room.
Correct Answer : A,B,E
The correct answers are a. Wear a protective gown while caring for the client, b. Place the client in a private room, and e. Place a mask on the client when they leave their room.
Choice A rationale: Clostridium difficile (C. diff) is primarily spread through contact with feces, surfaces, or objects contaminated with the bacteria. Healthcare workers can inadvertently spread the bacteria to other patients if proper contact precautions are not followed. Wearing a protective gown while caring for a client with C. diff helps to prevent the spread of bacteria and maintain proper infection control measures.
Choice B rationale: Isolation precautions are recommended for clients with C. diff to prevent the spread of the bacteria to other patients. Placing the client in a private room can help to achieve isolation and minimize the risk of cross-transmission.
Choice C rationale (Incorrect choice): While wearing personal protective equipment (PPE) is crucial when caring for clients with infectious diseases, an N-95 respirator is not necessary for C. diff. The bacteria is not airborne, and its transmission primarily occurs through contact with contaminated surfaces or objects. Standard surgical masks are sufficient for healthcare workers when caring for clients with C. diff, as they can protect against droplet transmission.
Choice D rationale (Incorrect choice): A negative pressure room is not required for clients with C. diff, as the bacteria is not airborne. Negative pressure rooms are typically used for patients with airborne diseases, such as tuberculosis, to prevent the spread of infectious particles through the air.
Choice E rationale: If a client with C. diff needs to leave their room for any reason, placing a mask on the client can help minimize the risk of droplet transmission. This precautionary measure can reduce the potential spread of bacteria to other areas within the healthcare facility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Skilled nursing is the most appropriate resource to anticipate for a postoperative client who needs physical therapy 2-3 times per day for two weeks. Skilled nursing facilities provide care from licensed nurses and therapists, making them well-suited for short-term rehabilitation and therapy services. These facilities offer a higher level of medical care compared to the other options, ensuring that the client's postoperative needs are adequately met.
Choice B rationale:
Assisted living is not the most suitable option for a postoperative client who requires physical therapy multiple times a day. Assisted living facilities are generally designed for individuals who need assistance with daily activities but do not require constant medical or therapeutic interventions.
Choice C rationale:
Long-term care is not the appropriate choice for a postoperative client with a two-week prescription for physical therapy. Long-term care facilities are designed for individuals who require ongoing, extended care, often due to chronic illnesses or disabilities. The client's condition is temporary, so long-term care is not warranted.
Choice D rationale:
Palliative care is intended for clients with serious, life-limiting illnesses, focusing on pain management and improving the quality of life. It is not suitable for a postoperative client who needs physical therapy for a limited duration. The primary goal of palliative care is different from the client's needs in this scenario.
Correct Answer is D
Explanation
Choice A rationale:
Standards of care for monitoring clients with a history of blood pressure elevation are important, but they are not the best resource for health promotion activities for clients with hypertension. This choice is more focused on monitoring and care standards.
Choice B rationale:
A critical pathway for clients who have had a stroke is specific to a different condition and not related to health promotion for clients with hypertension. It does not provide the information needed for the presentation.
Choice C rationale:
Acute care facility protocol for clients experiencing a hypertensive crisis is important for managing emergencies, but it is not the best resource for health promotion activities. It deals with crisis management rather than prevention.
Choice D rationale:
Clinical practice guidelines for the management of high blood pressure are the most appropriate resource for the nurse's presentation on health promotion activities for clients with hypertension. These guidelines provide evidence-based recommendations for managing and preventing high blood pressure, making them the best choice for the presentation. .
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.