A nurse is planning care for a client who is on contact precautions. Which of the following actions should the nurse take?
Instruct visitors to put on a gown and gloves before entering the client's room.
Place a box of surgical masks outside the client's room.
Assign the client to a negative pressure room.
Ensure all gloves in the client's room are nonlatex.
The Correct Answer is A
A. Instruct visitors to put on a gown and gloves before entering the client's room: Contact precautions require the use of personal protective equipment, including gowns and gloves, to prevent transmission of infectious agents via direct or indirect contact. Visitors and healthcare personnel should don these items before entering the room.
B. Place a box of surgical masks outside the client's room: Masks are used for droplet or airborne precautions, not routine contact precautions. Providing masks outside the room is not necessary unless droplet or airborne infection is suspected.
C. Assign the client to a negative pressure room: Negative pressure rooms are required for airborne precautions, not contact precautions. Contact precautions focus on hand hygiene and barrier protection rather than specialized airflow.
D. Ensure all gloves in the client's room are nonlatex: While glove selection may depend on allergy considerations, using nonlatex gloves is not a requirement specifically for contact precautions. Standard or nitrile gloves are acceptable unless a latex allergy is present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "The test will determine if there is leaking amniotic fluid.": The nitrazine test is used to detect the presence of amniotic fluid in the vagina by measuring pH. A positive result indicates a more alkaline pH, suggesting rupture of membranes. This explanation accurately describes the purpose of the test to the client.
B. "Your bladder should be full prior to me performing this test.": A full bladder is not required for a nitrazine test. In fact, urine can interfere with results because it is acidic and may cause a false-negative reading, so the bladder should not influence the test outcome.
C. "I will be taking a blood sample to test for changes in your hormone levels.": The nitrazine test does not involve blood samples and is unrelated to hormone levels. It is performed using vaginal fluid to detect amniotic fluid, so this statement is inaccurate.
D. "If this test is positive you will be required to have a non-stress test.": A positive nitrazine test indicates ruptured membranes, which may require further assessment, but it does not automatically mandate a non-stress test. Additional evaluation and clinical judgment guide next steps rather than an automatic NST.
Correct Answer is A
Explanation
A. Health department data and statistics reports: Local or state health departments routinely collect and publish epidemiological data, including incidence and prevalence rates of communicable diseases like tuberculosis. These reports provide reliable, up-to-date statistics that are essential for planning and evaluating public health programs.
B. Expert opinion from local health care providers: Expert opinion can provide insights into trends or clinical observations, but it is anecdotal and not sufficient for calculating incidence rates. Public health planning requires data that is systematically collected and analyzed.
C. Browsing an internet search engine: While internet searches may yield general information, the results may not be accurate, up-to-date, or specific to the local population. Official health department sources are more reliable for incidence data.
D. Clinical guidelines from a professional organization: Clinical guidelines provide recommendations for diagnosis, treatment, and management, but they do not usually include local incidence statistics. They are not a primary source for epidemiological data.
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