A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?

Don protective eyewear before entering the room.

Wear a mask when working within 3 feet of the client.

Place the client in a negative airflow room.

Administer metronidazole.

Answer and Explanation

The Correct Answer is B

A.   Protective eyewear is not necessary unless there is a risk of splashing or spraying of bodily fluids.
B.   Wearing a mask when working within 3 feet of the client helps prevent the spread of respiratory droplets, which is the primary mode of transmission for influenza.
C.   Placing the client in a negative airflow room is not typically indicated for influenza and may not be feasible in all healthcare settings.
D.   Metronidazole is an antibiotic used to treat certain bacterial and protozoal infections but is not specifically indicated for preventing the spread of influenza.

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Correct Answer is B

Explanation

A. Flex the client's knees:
While knee flexion can reduce back strain in some situations (e.g., when lying supine), it is not recommended during repositioning for a back injury as it may cause unnecessary spinal movement.

B. Roll the client as one unit in a smooth, continuous motion:
Logrolling maintains spinal alignment and reduces stress or twisting of the spine, which is crucial for clients with back injuries or spinal conditions.

C. Place the client on the side of the bed nearest the direction they will be turned:
The client should be positioned centrally on the bed to prevent falls and ensure adequate space for a safe, controlled logroll.

D. Place the client's arms at their sides:
The client’s arms should typically be crossed over their chest to prevent them from becoming trapped or causing unnecessary spinal movement during the roll.

A. Open the outermost flap of the sterile kit toward the body. B. Hold bottles of sterile solution with the label in the palm of the hand. C. Pour liquids into containers outside the sterile field. D. Place the sterile field at the level of the nurse's hips.

Correct Answer is B

Explanation

A. The nurse should not open the outermost flap of the sterile kit toward the body as it increases the risk of contaminating the sterile field with microorganisms from the nurse's clothing or body.
B. Holding bottles of sterile solution with the label in the palm of the hand prevents drips from contaminating the nurse's gloves or sterile field, as drips can follow along the label and onto the hand or field.
C. Liquids should be poured into containers within the sterile field to maintain sterility.
D. The sterile field should be placed at or above waist level to maintain sterility and prevent contamination by non-sterile surfaces.

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A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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