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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Unilateral leg swelling: Swelling in one leg following surgery may indicate deep vein thrombosis (DVT), a serious postoperative complication. DVT can lead to life-threatening pulmonary embolism if untreated, so early recognition and intervention are crucial in the post-hysterectomy period.

B. Increased hemoglobin: An increase in hemoglobin is not typically associated with postoperative complications. It may occur due to hemoconcentration but is not a red flag for immediate concern after surgery.

C. Increased urinary output: Increased urinary output is usually not indicative of a complication following hysterectomy. Abnormal urinary patterns of concern would include decreased output, dysuria, or signs of infection rather than an increase in volume.

D. Mild pain at the surgical site: Mild pain is an expected finding after a hysterectomy and is part of the normal healing process. Pain that is manageable with prescribed analgesics does not indicate a complication.

A. The client started working in a parking garage 3 months ago. B. The client is doing 30 min of moderate exercise daily. C. The client is drinking 2.5 L of water per day. D. The client last visited the dentist 4 months ago.

Correct Answer is A

Explanation

A. The client started working in a parking garage 3 months ago: Working in a parking garage can increase exposure to carbon monoxide and other exhaust fumes, which can be harmful to both the pregnant client and the fetus. Prolonged inhalation of these toxins may reduce oxygen delivery and contribute to complications, making this finding a priority for further evaluation.

B. The client is doing 30 min of moderate exercise daily: Moderate exercise is recommended during pregnancy as it improves circulation, reduces stress, and supports healthy weight gain. This behavior is considered safe and beneficial unless otherwise contraindicated by the provider.

C. The client is drinking 2.5 L of water per day: Adequate hydration is essential during pregnancy to support amniotic fluid levels, circulation, and kidney function. A daily intake of 2.5 liters is appropriate and aligns with recommended guidelines for pregnant clients.

D. The client last visited the dentist 4 months ago: Routine dental care is important during pregnancy due to increased risk of gingivitis, but a dental visit 4 months ago does not indicate an unsafe behavior. Continuing regular appointments every 6 months is generally sufficient unless specific concerns arise.

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A nurse is planning care for a client who is on contact precautions. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

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