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"

Answer and Explanation

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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Correct Answer is B

Explanation

- A: This client requires initial teaching, which is typically the responsibility of a registered nurse due to the educational aspect and the need to assess the client's understanding.
- B: Administering an enema is a task that falls within the scope of practice for a licensed practical nurse and does not require the advanced assessment skills of a registered nurse.
- C: Developing an initial plan of care involves comprehensive assessment and critical thinking, which are responsibilities of a registered nurse.
- D: A client transferring from the CCU after a myocardial infarction would require close monitoring and assessment, which are beyond the scope of practice for a licensed practical nurse.

A. "I can post the client's vital signs in the client's room." B. "I should discard personal health information documents in the trash before leaving the unit." C. "I can use another nurse's password as long as I log off after using the computer." D. "I should encrypt personal health information when sending emails."

Correct Answer is D

Explanation

A. Posting a client's vital signs in their room violates their confidentiality by making private health information publicly accessible.
B. Discarding personal health information documents in the trash can expose sensitive information and is not a secure method of disposal.
C. Using another nurse's password compromises security and individual accountability, leading to potential breaches of confidentiality.
D. Encrypting personal health information when sending emails demonstrates an understanding of the importance of protecting sensitive client data during electronic communication.

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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

A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?

Correct Answer is B

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A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

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