A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client’s energy without compromising physical or mental health?

Restricting visitors to a few hours in the afternoon to promote client rest.

Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period.

Scheduling toilet breaks before and after any other planned activity.

Scheduling energy-intensive activities at the time of day when the client has higher energy levels.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Restricting visitors to a few hours in the afternoon to promote client rest can help reduce fatigue, but it does not directly address the need to conserve energy throughout the day. While managing visitor times can be part of an overall strategy, it is not the most effective way to conserve energy for essential activities.

Choice B reason:

Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period may lead to fatigue and decreased performance. Concentrating activities in a short time frame can be overwhelming and counterproductive, especially for clients with limited energy reserves.

Choice C reason:

Scheduling toilet breaks before and after any other planned activity is practical for managing personal needs but does not specifically address energy conservation. While it ensures that the client is comfortable, it does not optimize the timing of energy-intensive activities.

Choice D reason:

Scheduling energy-intensive activities at the time of day when the client has higher energy levels is the best approach to conserve energy without compromising physical or mental health. This strategy takes advantage of the client’s natural energy peaks, allowing them to perform activities more effectively and with less fatigue. It helps balance activity and rest, promoting overall well-being.

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Correct Answer is B

Explanation

Choice A reason:

Closing the school for 6 weeks is an extreme measure that is not typically warranted for managing influenza outbreaks. Public health guidelines usually recommend temporary closures or other measures to control the spread of infection, but a 6-week closure is excessive and disruptive.

Choice B reason:

Education regarding respiratory and hand hygiene is an appropriate and effective action to help control the spread of influenza. Teaching students and staff about proper handwashing techniques, respiratory etiquette, and other preventive measures can significantly reduce the transmission of the virus. This approach empowers the school community to take proactive steps in preventing further infections.

Choice C reason:

Discipline in the school setting for improper handwashing is not an appropriate response. While it is important to encourage proper hygiene practices, using disciplinary measures can create a negative environment and may not effectively promote behavior change. Education and positive reinforcement are more effective strategies.

Choice D reason:

Running a mandatory flu clinic can be beneficial, but it is not the most immediate or appropriate action in response to an outbreak. Flu clinics are typically part of broader vaccination efforts and may not address the immediate need to control the current outbreak. Education on hygiene practices is a more immediate and practical response.

A. A negative-pressure isolation room B. A private room C. A semi-private room with a client who has pediculosis capitis D. A positive-pressure isolation room

Correct Answer is B

Explanation

Choice A: A negative-pressure isolation room

A negative-pressure isolation room is typically used for patients with airborne infections, such as tuberculosis or measles, to prevent the spread of infectious agents through the air. Scabies, however, is primarily transmitted through direct skin-to-skin contact and occasionally through contact with contaminated clothing or bedding. Therefore, a negative-pressure isolation room is not necessary for a scabies patient1.

Choice B: A private room

A private room is the most appropriate choice for a client with scabies. This type of room helps prevent the spread of the infestation to other patients and allows for better control of the environment. Scabies is highly contagious and can spread through direct contact with the infested person or indirectly through contaminated items. Isolating the patient in a private room minimizes the risk of transmission and allows for proper infection control measures to be implemented2.

Choice C: A semi-private room with a client who has pediculosis capitis

Placing a scabies patient in a semi-private room with another patient, even one with a different parasitic infection like pediculosis capitis (head lice), is not advisable. Both conditions are highly contagious, and cohabitation increases the risk of cross-contamination and further spread of both infestations. Each condition requires specific treatment and isolation protocols to effectively manage and prevent outbreaks3.

Choice D: A positive-pressure isolation room

A positive-pressure isolation room is designed to protect immunocompromised patients from external contaminants by ensuring that air flows out of the room rather than in. This type of room is not suitable for a scabies patient, as it does not address the primary mode of transmission for scabies, which is direct contact. The focus for scabies management should be on preventing direct and indirect contact with others4.

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A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client’s energy without compromising physical or mental health?

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Naxlex Comprehensive Predictor Exams

The school nurse identifies 12 students with confirmed cases of influenza A. The families of the children are advised to keep the children home for a minimum of 5 to 7 days. Which of the following is an appropriate action by the nurse?

Correct Answer is B

Explanation

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?

Correct Answer is B

Explanation

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