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. Administer a PRN sedative prescription should not be the first intervention. Non-pharmacological measures, such as promoting relaxation, should be attempted before resorting to medications.

B. Leave the door to the client's room open slightly can help with orientation but does not directly address the client's need for relaxation or sleep.

C. Provide a back rub at bedtime is a non-invasive, calming intervention that can help the client relax and promote sleep. It is appropriate to try this first before escalating to other measures.

D. Apply wrist restraints to prevent wandering is a last resort and should only be used when all other interventions have failed and the client poses a risk to themselves or others. Restraints are not indicated in this scenario without further justification.

A. Withhold the medication until the exact dose is available. B. Calculate the dose on hand to match the prescribed dose. C. Report a mismatch of prescribed and available doses. D. Ask the pharmacist if another dose can be dispensed.

Correct Answer is C

Explanation

A. Withhold the medication until the exact dose is available is not the best first action. The nurse should first report the discrepancy to ensure that the prescribed dose is correct and to confirm if the medication should be withheld or adjusted.

B. Calculate the dose on hand to match the prescribed dose is not appropriate. The nurse should not attempt to adjust the medication dose without confirmation from the healthcare provider or pharmacist.

C. Report a mismatch of prescribed and available doses is the correct action. The nurse should immediately report the discrepancy to the pharmacist or healthcare provider to verify the correct dose and prevent potential harm to the client.

D. Ask the pharmacist if another dose can be dispensed is an appropriate follow-up action but is secondary to reporting the mismatch first. The nurse needs to clarify the prescription and dosage before taking further steps.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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