A nurse manager is evaluating the clients on the unit who are assigned isolation precautions. Which of the following client assignments should the nurse manager identify as correct?

Protective precautions for a client who has neutropenia.

Airborne precautions for a client who has respiratory failure.

Droplet precautions for a client who has COPD.

Contact isolation for a client who has empyema.

Answer and Explanation

The Correct Answer is A

Rationale:
A. A client with neutropenia (low neutrophil count) has a weakened immune system and requires protective precautions to prevent infection exposure.
B. A client with respiratory failure does not require airborne precautions unless caused by a specific infection like TB or measles.
C. COPD is a chronic condition and not an infectious disease requiring droplet precautions.
D. Empyema (collection of pus in the pleural cavity) is usually a complication of infection but does not require contact isolation unless caused by a specific contagious pathogen.

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Correct Answer is A

Explanation

Rationale:
A. In emergency situations where the client is unable to provide informed consent (disoriented) and there is a life-threatening condition (cardiac arrhythmia), treatment should proceed under the principle of implied consent to save life or prevent serious harm.
B. Contacting next of kin may cause a delay in critical treatment and is not required in emergencies.
C. Notifying risk management is unnecessary and would delay care.
D. The client is disoriented and unable to legally sign consent, so this option is not appropriate.

A. The belief that the client has a difficult relationship with their child B. The steps to follow when providing wound care C. The client's preferred time for bathing D. The time the client received their last dose of pain medication

Correct Answer is D

Explanation

Rationale:
A. Personal beliefs about family relationships are subjective and not necessary for a change-of-shift or transfer report.
B. Detailed wound care procedures belong in the medical record or care plan, not in the transfer report.
C. A client’s bathing preference is relevant to daily care but not essential for continuity of care during transfer.
D. The time of the last pain medication is critical information for continuity of care and client safety, ensuring the next care team can manage pain effectively and avoid overdosing.

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A nurse manager is evaluating the clients on the unit who are assigned isolation precautions. Which of the following client assignments should the nurse manager identify as correct?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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