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. Endotracheal suctioning is crucial for maintaining a patent airway in clients with an endotracheal tube who may have secretions obstructing their airway. This procedure directly impacts the client's ability to breathe and is often performed on an urgent basis to prevent respiratory distress or failure.
A. Enteral feeding is important for providing nutrition to clients who cannot eat by mouth, but it is not immediately life-threatening. This procedure can usually be scheduled and does not require urgent attention compared to issues involving airway or breathing.

B. Urinary catheter care is necessary to prevent infections and ensure proper urinary drainage, but it is not typically an urgent procedure unless there is a blockage or another complication that immediately impacts the client’s health.
D. Wound irrigation is important for preventing infection and promoting healing, but it is not as immediately critical as ensuring a patent airway. It can usually be performed after more urgent needs are addressed.

A. Cross the client's ankles when lying supine. B. Use trochanter rolls beside the client's legs. C. Place the client's arms at their side when turning them. D. Logroll the client every 4 hr.

Correct Answer is B

Explanation

B. Trochanter rolls are positioning devices placed alongside the hips and thighs to prevent external rotation of the legs, which can lead to hip dislocation or pressure injuries. Using trochanter rolls helps maintain proper alignment of the lower extremities and reduces the risk of musculoskeletal complications.
A. Crossing the client's ankles when lying supine can increase the risk of pressure injuries, particularly over bony prominences such as the ankles, and impair circulation.
C. Placing the client's arms at their side is not typically recommended as it does not facilitate proper body alignment and can lead to discomfort.
D. Logrolling the client every 4 hours is a technique used for clients with spinal injuries or after certain types of spinal surgery and may not be necessary for all immobile clients.

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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?

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Naxlex Comprehensive Predictor Exams

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