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?

Administer metronidazole.

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.

Answer and Explanation

The Correct Answer is C

C. Wearing a mask when working within close proximity to the client helps prevent the transmission of respiratory droplets containing the influenza virus. This is especially important when providing direct care to the client, such as during assessments or procedures.
A. Metronidazole is an antibiotic used to treat bacterial infections, not viral infections like influenza. Administering metronidazole would not prevent the spread of influenza.
B. Protective eyewear is typically used to prevent exposure to bloodborne pathogens or other bodily fluids that could splash into the eyes. In the case of influenza, the primary mode of transmission is through respiratory droplets, so protective eyewear is not necessary for preventing its spread.
D. Negative airflow rooms are typically used for clients with airborne infections, such as tuberculosis, where there is a risk of droplet nuclei remaining suspended in the air for prolonged periods. Influenza is primarily spread through respiratory droplets and does not require negative airflow isolation.

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Correct Answer is C

Explanation

C. This finding suggests a swallowing difficulty (dysphagia), which is a significant concern for clients with left-sided weakness following a stroke. Dysphagia increases the risk of aspiration, choking, and pneumonia. Immediate intervention is necessary to prevent complications and ensure safe oral intake.
A. While elevated blood pressure may be a concern for a client with a history of stroke, it is not the priority finding in this scenario unless it is significantly high or symptomatic. The immediate priority is addressing issues related to the client's physical function and safety.
B. Malnutrition and dehydration are common risks for clients with left-sided weakness following a stroke. Ensuring adequate nutrition and hydration is essential for promoting recovery and preventing complications such as pressure ulcers and infections.
D. While leaning to one side may indicate asymmetrical weakness or impaired balance, it is not the priority finding compared to issues related to nutrition, swallowing safety, and blood pressure control.

A. Store the oxygen cylinder wrench with the oxygen tank. B. Antibiotic therapy should be taken for 10 days. C. Adjust the oxygen flow rate as needed to ease breathing, D. Steroid medication should be taken in the morning. E. The steroid dose will decrease each day. F. Ensure the oxygen delivery system is at least 8 feet from any heat source.

Correct Answer is ["A","B","C","E","F"]

Explanation

D. Since the client is being discharged with home oxygen therapy, it's essential for the caregiver to know how to adjust the oxygen flow rate to maintain adequate oxygenation for the client's comfort and respiratory needs.
E. Prednisone, a steroid medication, is often prescribed to be taken in the morning to minimize the risk of insomnia or sleep disturbances associated with its use. Therefore, the nurse should emphasize this timing to optimize the therapeutic effects and minimize potential side effects.
F. Prednisone is typically prescribed in a tapering regimen, where the dose decreases gradually over time to prevent withdrawal symptoms and adrenal insufficiency. Therefore, it's crucial for the nurse to inform the client and caregiver about the tapering schedule to ensure adherence to the treatment plan.
G. It's important to keep the oxygen delivery system, including the oxygen tank and nasal cannula, away from any heat source to reduce the risk of fire hazards. Therefore, the nurse should educate the client

and caregiver about maintaining a safe distance from heat sources to prevent accidents and ensure their safety.
A. Some antibiotics can be taken with or without food, specific instructions are given for Cephalexin, which should generally be taken with food to minimize gastrointestinal side effects. Therefore, it's important for the nurse to provide this information to the client and caregiver.
B. It's essential for the caregiver to know where the oxygen cylinder wrench is stored for emergency purposes but it's not advisable to store it directly with the oxygen tank. Storing it separately ensures that it is readily accessible without causing any potential harm to the tank's integrity or creating a safety hazard.
C. The prescription for Cephalexin is to be taken every 6 hours for 5 days, not for 10 days. Therefore, it's crucial for the nurse to clarify the correct duration of antibiotic therapy to prevent misunderstanding and ensure appropriate adherence to the treatment plan.

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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

A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?

Correct Answer is C

Explanation

A nurse is caring for a client who has pneumonia. Exhibits

Correct Answer is ["A","B","C","E","F"]

Explanation

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