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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Adjusting the hand grips is necessary to ensure that the client can bear weight comfortably through the arms without placing stress on the wrists or shoulders, so avoiding this adjustment is incorrect.
B. Holding the crutch 6 inches to the side is a common guideline, but it is not as crucial as ensuring the correct fit of the crutches to avoid axillary nerve damage and ensure proper posture.
C. The crutch should fit 2 finger widths below the axilla to prevent pressure on the brachial plexus nerves, which can lead to nerve damage. This demonstrates an understanding of proper crutch fit and use.
D. Walking with the arms fully extended is incorrect; the arms should be slightly bent at the elbows to allow for proper weight distribution and movement.
Correct Answer is A
Explanation
A. A family attorney is the most appropriate professional to contact for more information about advance directives. Attorneys are knowledgeable about the legal aspects of advance directives, including living wills and durable power of attorney for healthcare, and can provide guidance on how to properly complete these documents.
B. A nurse manager may provide general information, but an attorney is more suited to address the legal aspects of advance directives.
C. A hospice nurse focuses on end-of-life care but may not have the expertise to provide comprehensive information about the legal requirements for advance directives.
D. A chaplain can offer spiritual support but is not the best resource for legal information regarding advance directives.
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