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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Free Nursing Study Resources

Correct Answer is D,C,B,A

Explanation

Correct order: D C B A

Washing hands is the first step before any PPE is applied to ensure cleanliness and prevent the introduction of pathogens.
Putting on the isolation gown is the next step, as it protects the nurse's clothing from exposure to potentially infectious materials.
Applying a surgical mask is the next step to protect the nurse from airborne or droplet transmission.
Donning gloves is the final step, as gloves should be put on last to protect the hands while providing direct care, especially when dealing with wound care.

A. Select upper arm as the injection site. B. Massage the site gently after injection. C. Ensure bevel of the needle is pointing up. D. Hold the syringe perpendicular to the skin.

Correct Answer is C

Explanation

A. Select upper arm as the injection site is incorrect. While the upper arm can be an appropriate site for an intradermal injection, the most common site for ID injections is the inner forearm. The choice of site depends on the procedure and provider's preferences.

B. Massage the site gently after injection is incorrect. Massaging the site after an intradermal injection can disrupt the injection, causing the medication to be dispersed under the skin rather than remaining in the dermis.

C. Ensure bevel of the needle is pointing up is the correct action. For intradermal injections, the bevel of the needle should be facing upward to ensure that the medication is injected just beneath the skin, creating a visible wheal.

D. Hold the syringe perpendicular to the skin is incorrect. For intradermal injections, the needle should be inserted at a 5-15 degree angle to the skin, not perpendicular.

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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

The nurse is caring for a client in isolation who requires wound care. The nurse should prepare to enter the room by performing these actions in which order? (Arrange with the first step on top and the last step at the bottom.)

Correct Answer is D,C,B,A

Explanation

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

Correct Answer is C

Explanation

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