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 her room."
"I will wear an N95 respirator mask when caring for a client who is on droplet precautions"
The Correct Answer is C
A. Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.
B. A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client.
C. Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.
D. An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.
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Related Questions
Correct Answer is C
Explanation
A. Child protective services deal with cases of child abuse or neglect, which isn't relevant to the parent's inability to afford medical equipment.
B. While a respiratory therapist might assist with the use of the nebulizer, they may not address the financial concerns of the parent.
C. Social workers can help connect families with resources, financial assistance programs, or charitable organizations that may assist with obtaining necessary medical equipment.
D. While a pharmacist plays a role in medication management, they may not directly address the financial concerns related to acquiring the nebulizer.
Correct Answer is D
Explanation
A. Mentioning that the client is the president of a local bank might not be pertinent to the client's current health status or care needs and is not typically included in a change-of- shift report unless relevant to the care plan.
B. The fact that the client's partner came to visit two hours ago might be important for emotional support or social interaction but might not be crucial information for the oncoming nurse unless relevant to the client's condition.
C. The client has routine vital signs prescribed”is not as critical to include in the change-of-shift report because it is standard practice and does not provide specific, immediate information about the client’s current status or any changes that need to be monitored closely.
D. This is critical information for the incoming nurse. It informs them that the client is currently away from the unit, which may affect the plan of care, including monitoring, medication administration, or any interventions needed during the client’s absence. It is important for the incoming nurse to be aware of the client's current status and whereabouts.
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