A nurse is caring for a client on a medical-surgical unit.

Which of the following actions are part of the isolation precautions for this client?

Place the client in a room with positive airflow.

Perform hand hygiene with at least 4 to 5 mL of hand sanitizer when leaving the client's room.

When removing personal protective equipment, remove the gown first.

Provide a mask for the client when they are outside their room.

Don a gown when entering the client's room.

Answer and Explanation

Correct Answer : A,D,E

A. Place the client in a room with positive air flow: Placing the client in a room with positive air flow helps prevent the spread of infectious agents within the healthcare facility. This is particularly important for clients with airborne infections.

D. Provide a mask for the client when they are outside their room: Providing a mask for the client when they are outside their room helps prevent the spread of infectious agents to others if the client has a contagious respiratory infection.

E. Don a gown when entering the client's room: Wearing a gown upon entering the client's room helps protect the nurse from contact with the client's body fluids and reduces the risk of transmitting pathogens to other clients or healthcare workers.

B. Perform hand hygiene with at least 4 to 5 mL of hand sanitizer when leaving the client's room: Hand sanitizer is not a substitute for proper handwashing with soap and water. Hand sanitizer may be used in addition to handwashing, but it is not used with such a specific quantity.

C. When removing personal protective equipment, remove gloves first: When removing personal protective equipment, the correct sequence is to remove gloves, perform hand hygiene, and then remove other items such as gown, mask, and eyewear. This helps prevent contamination of the hands during the process.

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Correct Answer is C

Explanation

Choice A reason:
Obtaining printed information about insulin self-administration is a first recommendation as it can be done after ensuring the client's ability to afford the supplies.
Choice B reason:
Making a copy of the medication reconciliation form for the client is not a first recommendation as it can be done after ensuring the client's access to supplies.
Choice C reason:
Determining whether the client can afford the insulin administration supplies is the first action to be taken. The first step should be to ensure that the client can afford the insulin administration supplies. Proper management of diabetes requires having access to the necessary equipment, including insulin, syringes, pens, or other devices. If the client cannot afford these supplies, alternative options or assistance programs may need to be explored to ensure the client's safety and well-being.
Choice D reason:
Providing the client with the contact number for a diabetes education specialist is important for long-term management, but addressing the affordability of supplies should take precedence initially.

A. Plain yogurt B. Scrambled eggs C. Oatmeal D. Applesauce

Correct Answer is A

Explanation

Choice A reason:
Plain yogurt is appropriate for a full-liquid diet as it is a liquid at room temperature and provides nutritional value.
A full-liquid diet consists of foods that are liquid at room temperature and can be easily poured or sipped. It includes clear liquids as well as liquids that are more opaque, like milk-based products and certain blended foods. Among the options provided:
Choice B reason:
Scrambled eggs are not appropriate. Scrambled eggs are not typically considered a part of a full-liquid diet. They have a solid texture and may not be suitable for this specific dietary progression.
Choice C reason:
Oatmeal is inappropriate. Oatmeal is a solid food that does not meet the criteria for a full-liquid diet. It is usually allowed on a soft or regular diet after appropriate postoperative recovery.
Choice D reason:
Applesauce is inappropriate. While applesauce is softer than solid foods, it is not typically included in a full liquid diet. It is more commonly associated with a soft or pureed diet.

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A nurse is caring for a client on a medical-surgical unit. Which of the following actions are part of the isolation precautions for this client?

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A nurse is caring for a client on a medical-surgical unit.

Which of the following actions are part of the isolation precautions for this client?