A client is being admitted to the unit with a varicella zoster virus infection. Which room should the charge nurse assign to the client?

A private room with both contact and airborne precautions.

A semiprivate room with a roommate who has the same diagnosis and airborne precautions.

A private room with both standard and droplet precautions.

A semiprivate room with a roommate who has the same diagnosis and contact precautions.

Answer and Explanation

The Correct Answer is A

A. A private room with both contact and airborne precautions is appropriate for a client with varicella zoster virus (chickenpox or shingles in an immunocompromised state). This virus can spread through direct contact with lesions and airborne transmission of respiratory droplets.

B. A semiprivate room with a roommate who has the same diagnosis and airborne precautions could be considered if the roommate also has the same strain of the virus, but a private room is generally preferred to minimize cross-contamination risks.

C. A private room with both standard and droplet precautions is insufficient. Airborne precautions are necessary because varicella zoster virus can spread via airborne routes.

D. A semiprivate room with a roommate who has the same diagnosis and contact precautions does not account for the airborne transmission risk, making this option inappropriate.

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Correct Answer is C

Explanation

A. "Wash your hands after each administration of eye drops" is important but not specific to the safe administration of miotic eye drops. Washing hands before administration is more relevant to preventing infection.

B. "Squeeze your eye closed after administering the drops" can force the medication out of the eye, reducing its effectiveness. Instead, the client should be instructed to close the eye gently and apply pressure to the inner canthus to prevent systemic absorption.

C. "Do not allow the dropper bottle to touch the eye" is correct because it prevents contamination of the dropper, which could lead to eye infections.

D. "Administer the medication directly on the cornea" is incorrect because eye drops should be placed in the conjunctival sac, not directly on the cornea, to minimize irritation and maximize absorption.

A. "The healthcare provider will share this information with you." B. "I'm sorry, but your son's medical information is none of your business." C. "I can give you those results as soon as I get them back from the lab." D. "I can only give medical information to your son because he is an adult."

Correct Answer is D

Explanation

A. "The healthcare provider will share this information with you" implies that the father has the right to access the client’s information, which is incorrect unless the client has provided explicit consent.

B. "I'm sorry, but your son's medical information is none of your business" is inappropriate and dismissive. While the father does not have automatic rights to the information, the response should be respectful and professional.

C. "I can give you those results as soon as I get them back from the lab" violates the client’s privacy, as the father is not automatically entitled to this information without the client’s consent.

D. "I can only give medical information to your son because he is an adult" is correct because the client is 19 years old and legally an adult. Under privacy laws such as HIPAA, the nurse cannot share medical information with anyone, including parents, unless the client has given permission.

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A client is being admitted to the unit with a varicella zoster virus infection. Which room should the charge nurse assign to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with primary open-angle glaucoma received a prescription for miotic eye drops. Which instruction should the nurse plan to include in this client's teaching?

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Explanation

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Correct Answer is D

Explanation

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