The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing student indicates a correct understanding of the teaching?

"All patients are presumed infectious."

"Isolation is not required for most diseases."

"Patients with a known infection are placed in isolation only when they are admitted."

"Patients are not considered infectious until confirmed so by the laboratory."

Answer and Explanation

The Correct Answer is A

A.   "All patients are presumed infectious.": This statement reflects the principle of universal precautions, which assumes that all patients may potentially transmit infectious agents, regardless of their diagnosis or symptoms. It emphasizes the importance of implementing infection prevention practices for every patient encounter to minimize the risk of transmission.
B.   "Isolation is not required for most diseases.": While isolation precautions may not be required for all diseases, the statement does not fully capture the concept of universal precautions.
C.   "Patients with a known infection are placed in isolation only when they are admitted.": This statement is not accurate as patients with known infections should be placed in isolation as soon as possible to prevent the spread of infection to others.
D.   "Patients are not considered infectious until confirmed so by the laboratory.": Waiting for laboratory confirmation before implementing infection control measures could lead to delays in preventing transmission, as patients may be infectious before laboratory results are available.

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Correct Answer is B

Explanation

A. A 49-year-old who works in food services: While individuals working in food services may be at risk of exposure to influenza, they are not in the highest priority group. Age and underlying health conditions are typically prioritized over occupational risk factors.

B. An 88-year-old who lives in an apartment for senior citizens: Older adults, especially those living in congregate settings like senior citizen apartments, are at higher risk of complications from influenza. Therefore, the 88-year-old should have the highest priority to receive the vaccine.

C. A 26-year-old with three young children: While having young children may increase the risk of exposure to influenza, younger adults without underlying health conditions are generally at lower risk of severe complications compared to older adults.

D. A 15-year-old who plays ice hockey: While participation in activities like ice hockey may increase the risk of exposure to respiratory infections, age and health status are more significant factors in determining priority for influenza vaccination.

A. Nonadherent dressing B. Paste C. Moist, sterile gauze D. Duoderm

Correct Answer is A

Explanation

A. Nonadherent dressing: Nonadherent dressings are suitable for small skin tears in older adult clients because they prevent the dressing from sticking to the wound bed, minimizing trauma during dressing changes.
B. Paste: Paste dressings are typically used for wound packing or for managing exuding wounds, not for small skin tears.
C. Moist, sterile gauze: While moist, sterile gauze can be used for wound dressings, it may adhere to the wound bed, causing further trauma during dressing changes.
D. Duoderm: Duoderm is a type of hydrocolloid dressing used for moderate to heavily exuding wounds, not for small skin tears.

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The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing student indicates a correct understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

There are limited amounts of influenza vaccine currently available in the clinic. Which individual should the nurse identify as having the highest priority to receive vaccination at this time?

Correct Answer is B

Explanation

Which of the following dressing types is most appropriate for the nurses to apply to a small skin tear in an older adult client?

Correct Answer is A

Explanation

A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential. nonessential, or contraindicated for the client.

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