A client has been placed on droplet precautions and the nurse is providing education to the spouse about specific personal protective equipment (PPE) that will need to be worn. Which of the following statements requires the need for further teaching?
"When leaving the room, I will remove the mask just inside the door."
"I will wash my hands and put on a face mask before I go into their room."
"I don't need to wear a mask if I stay a foot away from them."
"This disease is spread through small droplets that spray out when they talk, cough, or sneeze."
The Correct Answer is C
A. Removing the mask just inside the door is a proper procedure to avoid potential contamination of the outer surface of the mask.
B. Washing hands and donning a face mask before entering the room is appropriate to prevent the transmission of droplets.
C. Even if the spouse stays a foot away from the client, wearing a mask is essential for droplet precautions as respiratory droplets can travel short distances.
D. This statement accurately describes how the disease is transmitted through respiratory droplets.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
To calculate the infusion rate in gtts/min, the nurse should use the following formula: Infusion rate (gtts/min) = Volume (mL) x Drop factor (gtts/mL) / Time (min) Plugging in the given values, we get:
Infusion rate (gtts/min) = 400 mL x 60 gtt/mL / 480 min Simplifying, we get:
Infusion rate (gtts/min) = 50 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 50 gtts/min.
Correct Answer is ["C","D","F","G"]
Explanation
A. The absence of pain does not necessarily indicate the absence of infection.
B. An oral temperature of 98.9 degrees F is within the normal range and does not indicate infection.
C. Decreased level of consciousness can be a sign of systemic infection, especially if accompanied by other symptoms.
D. An elevated white blood cell count (WBC) is indicative of an inflammatory response, which can occur in infection.
E. A scab forming on the incision line is a normal part of wound healing and does not necessarily indicate infection.
F. Crackles in bilateral lung bases may indicate a possible infection.
G. Redness and warmth at the incision site are signs of inflammation and can indicate infection.
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