A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include?

Use sterile gloves when handling soiled linens

Place a surgical mask on the client if transportation to another department is needed

Wear a gown when providing all client cares

Wear a mask when providing care within 10 ft of the client

Answer and Explanation

The Correct Answer is D

A.   While standard precautions should be followed, the use of sterile gloves for routine care related to pertussis is not necessary.
B.   Placing a surgical mask on the client during transportation may help prevent the spread of respiratory droplets but is not a comprehensive infection control measure.
C.   Wearing a gown for all client cares is unnecessary and may not be practical.
D.   Wearing a mask when providing care within 10 feet of the client helps reduce the risk of droplet transmission of pertussis.

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Correct Answer is A

Explanation

A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.

B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.

C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.

D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.

A. Platelets B. Hemoglobin C. Neutrophils D. Erythrocytes

Correct Answer is C

Explanation

A. Platelets are involved in blood clotting and are not directly related to the body's ability to withstand exposure to pathogens.
B. Hemoglobin carries oxygen in the blood and is not directly related to the body's immune response to pathogens.
C. Neutrophils are a type of white blood cell that plays a key role in the body's immune response to pathogens, including phagocytosis.
D. Erythrocytes, or red blood cells, carry oxygen in the blood and are not directly involved in the body's immune response to pathogens.

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A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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