A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

"I will instruct visitors to wear a mask when visiting a client who is on contact precautions."

"I will place a client who has compromised immunity in a negative-pressure airflow room."

"I will have a client who is on airborne precautions wear a mask when out of their room."

"I will wear an N95 respirator mask when caring for a client who is on droplet precautions."

Answer and Explanation

The Correct Answer is C

Rationale:
A Visitors for a client on contact precautions (e.g., MRSA, C. diff) need gloves and gown, not a mask, unless droplet or airborne precautions are also indicated.
B. A client with compromised immunity requires protective isolation in a positive-pressure airflow room, not a negative-pressure one (which is for airborne infections).
C. Clients on airborne precautions (e.g., TB, measles, varicella) must wear a surgical mask if they leave their room to prevent spreading infectious particles.
D. An N95 respirator is used for airborne precautions, not droplet. Droplet precautions (e.g., influenza, pertussis) only require a surgical mask within 3 feet of the client.

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Correct Answer is D

Explanation

Rationale:
A. Reviewing facility policies is important but should follow understanding the underlying cause of the issue.
B. Discussing time management strategies may be helpful but is premature without knowing why breaks are being missed.
C. Providing coverage for breaks is a possible solution, but it should be based on identified barriers.
D. Determining the reasons the nurses are not taking breaks is the first step, as it allows the charge nurse to address the root cause and implement an appropriate and effective solution.

A. A client who has emphysema and has an oxygen saturation level of 92% B. A client who has dehydration and is being admitted from the emergency department C. A client who is scheduled to receive 2 units of RBCs following a hip replacement D. A client who is scheduled to start oral nutrition 2 days after a cerebrovascular accident

Correct Answer is A

Explanation

Rationale:
A. A client with emphysema and an oxygen saturation of 92% is stable and within an expected range for this condition. This client’s care can be appropriately managed by an LPN.
B. Admission assessments must be completed by an RN, not an LPN.
C. Administration of blood products (RBCs) requires an RN due to the need for close monitoring and rapid intervention for transfusion reactions.
D. Initiating oral nutrition after a stroke involves swallowing assessment and risk for aspiration, which must be performed by an RN.

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A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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