The nurse is preparing a client placed on droplet precautions for transport from the client's room to another department. The client wears eyeglasses and refuses to remove them while being transported. Which action should the nurse take?

Obtain permission from the nursing supervisor to transport the client without protective equipment.

Place protective goggles over the client's eyeglasses after first positioning the face mask.

Instruct the client about the need to wear a fitted respirator-style mask when leaving the room.

Secure a surgical face mask over the bridge of the client's nose just below the eyeglasses.

Answer and Explanation

The Correct Answer is D

A. Transporting the client without protective equipment would not comply with droplet precaution protocols and could pose a risk of infection to others.
B. Placing goggles over the eyeglasses is not necessary if a surgical mask can be properly fitted, as the mask itself provides the needed protection for droplet precautions.
C. A fitted respirator-style mask is typically not required for droplet precautions; a surgical mask is sufficient.
D. Securing a surgical face mask over the bridge of the client's nose just below the eyeglasses ensures that the mask is properly fitted, providing adequate protection while allowing the client to wear their eyeglasses comfortably. This approach adheres to droplet precaution protocols.

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Correct Answer is D

Explanation

A. Verbal analogies can help in understanding concepts, but they may not fully engage young adults in active problem-solving.
B. Positive reinforcement is important for motivation, but it does not directly involve the clients in problem-solving strategies.
C. Physical demonstrations are effective for teaching skills, but they may not be the most engaging method for problem-solving.
D. Simulation activities are highly effective in engaging young adults in problem-solving strategies. These activities allow participants to actively apply their knowledge and think critically in a controlled environment, making them a valuable tool for teaching problem-solving.

A. Raise the four side rails on the bed. B. Close the client's room door. C. Orient the client to the surroundings. D. Secure a bed alarm on the mattress. E. Escort the client back to her room.

Correct Answer is ["C","D","E"]

Explanation

A. Raising the four side rails on the bed can be considered a form of restraint and might increase the risk of injury if the client attempts to climb over them. It is not recommended unless necessary and in accordance with facility policies.
B. Closing the client's room door could increase the client's confusion and sense of isolation, making it harder for the staff to monitor the client’s safety.
C. Orienting the client to the surroundings is essential in reducing confusion and preventing further wandering. It helps the client feel more secure and less disoriented.
D. Securing a bed alarm on the mattress is a proactive safety measure that can alert the staff if the client attempts to leave the bed again, thus preventing potential harm.
E. Escorting the client back to her room ensures immediate safety and provides an opportunity to assess the client's condition and needs in a controlled environment.

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The nurse is preparing a client placed on droplet precautions for transport from the client's room to another department. The client wears eyeglasses and refuses to remove them while being transported. Which action should the nurse take?

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Naxlex Comprehensive Predictor Exams

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which action is most useful for the nurse to include during the teaching session?

Correct Answer is D

Explanation

The nurse finds a confused client wandering in the hallway during the night. Which actions should the nurse implement? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

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