An unlicensed assistive personnel (UAP) is assigned to a client with flu-like symptoms who has been placed on droplet precautions. The UAP requests a change in assignment, stating she has not yet been fitted for a particulate filter mask. Which action should the nurse take?

Send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this client.

Advise the UAP to wear a standard face mask to obtain vital signs, and then get fitted for a filter mask before providing personal care.

Instruct the DAP that a standard face mask is sufficient to be able to provide care for the assigned client.

Before changing assignments, determine which staff members have fitted particulate filter masks.

Answer and Explanation

The Correct Answer is C

A) This option is unnecessary because droplet precautions do not require a particulate filter mask. Particulate filter masks are needed for airborne precautions. Sending the UAP for fitting delays care without providing additional safety benefits for droplet precautions.

B) While a standard face mask is appropriate for droplet precautions, the part about getting fitted for a filter mask is unnecessary. It implies that a particulate filter mask is needed, which it is not for droplet precautions. This option also incorrectly suggests that vital signs can be obtained with a standard mask, but personal care requires a particulate filter mask, which is not accurate.

C) Droplet precautions require the use of a standard face mask, not a particulate filter mask (such as an N95 respirator). Particulate filter masks are required for airborne precautions, which are necessary for diseases like tuberculosis, measles, or chickenpox. For droplet precautions, a standard surgical mask is adequate to prevent the transmission of infections like influenza. Thus, the UAP can safely provide care to the client with flu-like symptoms by wearing a standard face mask.

D) This option is unnecessary because a particulate filter mask is not required for droplet precautions. Changing assignments based on this criterion is not needed and could disrupt the workflow without enhancing safety. The focus should be on ensuring staff understand and use the appropriate PPE for droplet precautions.

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Correct Answer is A

Explanation

Assessing and managing pain is a crucial aspect of providing atraumatic care for any post-operative patient, including a child. The child cried throughout the procedure and will likely experience discomfort and pain after the surgery. It is important to assess the child's pain levels regularly using appropriate pain assessment tools and provide appropriate pain management interventions to ensure their comfort and well-being.

While antibiotics may be prescribed if there is a surgical site infection or specific indications for their use, it is not mentioned as a priority in this scenario. The focus is on providing atraumatic care post-operatively, and pain assessment takes precedence.

Occupational therapy, physical therapy, and wound care are important components of the child's overall care, but they may not be the immediate priority post-operatively.

These interventions can be incorporated into the plan of care as needed, but addressing pain is of utmost importance in the immediate post-operative period.

A. 0200 B. 1300 C. 1000 D. 1600 E. 1400 F. 0900 G. 0800 H. 0500 I. 1100 J. 1200

Correct Answer is ["B","C","D","E","F","G"]

Explanation

A. Incorrect- 0200: This is not a scheduled time for vital sign assessments every 4 hours.

B. Correct- 1300: This is 4 hours after the 0900 vital signs, following the every 4-hour schedule.

C. Correct 1000: This is 4 hours after the 0600 vital signs, following the every 4-hour schedule.

D. Correct 1600: This is 4 hours after the 1200 vital signs, following the every 4-hour schedule.

E. Correct 1400: This is 4 hours after the 1000 vital signs, following the every 4-hour schedule.

F. Correct 0900: This is the initial vital sign assessment upon admission to the trauma unit at 0100, and it's also 4 hours after the 0500 vital signs.
G. Correct 0800: This is 4 hours after the 0400 vital signs, following the every 4-hour schedule.

H. Incorrect 0500: This is 3 hours after the initial vital sign assessment at 0100. The scheduled assessments are every 4 hours, so the nexta one would be at 0900.
I. Correct 1100: This is 4 hours after the 0700 vital signs, following the every 4-hour schedule.

J. Correct 1200: This is 4 hours after the 0800 vital signs, following the every 4-hour schedule.

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An unlicensed assistive personnel (UAP) is assigned to a client with flu-like symptoms who has been placed on droplet precautions. The UAP requests a change in assignment, stating she has not yet been fitted for a particulate filter mask. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Exhibits In the trauma unit, vital signs ordered every 4 hours are taken at 0400, 0800, 1200, 1600, 2000, and 2400. Select the times that the nurse should do vital signs. Select all that apply.

Correct Answer is ["B","C","D","E","F","G"]

Explanation

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Vital signs include: heart rate 122 beats/minute, respiratory rate 28 breaths/minute, and blood pressure 170/90 mmHg. Which assessment finding warrants the most immediate intervention by the nurse?

The nurse is preparing to send a client to the cardiac catheterization lab for an angioplasty. Which client report is most important for the nurse to explore further prior to the start of the procedure?

An adult client is admitted for severe pain in his side and back and is sent for an intravenous pyelogram. Which report from the client is the earliest indication to the nurse that the client is experiencing an adverse reaction to this procedure?

The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid from the left lung. Which assessment finding should the nurse report to the healthcare provider immediately?