A community health nurse is providing an in-service to new staff members on isolation precautions. Which of the following diseases should the nurse identify as requiring airborne precautions?

Clostridium difficile

Influenza

Disseminated herpes zoster

Respiratory syncytial virus (RSV)

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect. Clostridium difficile is a bacterium that causes an infection of the colon, which can result in diarrhea, abdominal pain, and fever¹. Clostridium difficile is transmitted by contact with fecal matter or contaminated surfaces². Therefore, it requires contact precautions, not airborne precautions³.

Choice B reason: This is incorrect. Influenza is a viral infection that affects the respiratory tract, causing symptoms such as fever, cough, sore throat, and muscle aches⁴. Influenza is transmitted by respiratory droplets that are generated by coughing, sneezing, or talking⁵. Therefore, it requires droplet precautions, not airborne precautions³.

Choice C reason: This is correct. Disseminated herpes zoster is a widespread form of shingles that affects multiple areas of the skin and can involve the internal organs⁶. Shingles is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox⁷. Disseminated herpes zoster is transmitted by airborne particles that contain the virus, or by direct contact with the lesions⁶. Therefore, it requires airborne precautions, as well as contact precautions³.

Choice D reason: This is incorrect. Respiratory syncytial virus (RSV) is a common respiratory virus that causes mild to severe infections of the lungs and airways, especially in infants and young children⁸. RSV is transmitted by respiratory droplets, or by contact with contaminated surfaces or secretions⁹. Therefore, it requires contact precautions, and sometimes droplet precautions, but not airborne precautions³.

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Correct Answer is B

Explanation

Choice A reason : Teaching clients' family members how to care for a wound is an educational activity that enhances the family's ability to provide care but does not directly provide feedback on the quality of care given by the staff.

Choice B reason : Tracking the readmission rates of postoperative clients is a direct measure of care quality. High readmission rates can indicate issues with the surgery or the postoperative care, making this a valuable metric for quality assessment.

Choice C reason : Orienting staff to new equipment is important for ensuring safe and effective use, but it does not offer direct feedback on the quality of care. It is more about maintaining competency and safety standards.

Choice D reason : Organizing morale-boosting events is beneficial for staff well-being and can indirectly affect care quality. However, it does not provide immediate feedback on the quality of care provided to clients.

A. The client's arthritis pain has improved. B. The client is sleeping through the night. C. The client's leg wound is healing. D. The client's blood pressure is 132/56 mm Hg. E. None F. None

Correct Answer is C

Explanation

A. Echinacea has anti-inflammatory properties that can help reduce pain and swelling associated with arthritis. Studies have shown that echinacea can be effective in managing inflammatory conditions like arthritis, making this a likely indicator of its effectiveness.

B. While echinacea may have some calming effects, it is not primarily used to treat sleep disorders. Therefore, improved sleep is not a direct indicator of echinacea's effectiveness.

C. Echinacea is known for its immune-boosting properties, which can aid in wound healing. However, this is not its primary use, and other factors could contribute to wound healing.

D. Echinacea does not have a significant impact on blood pressure. Therefore, a change in blood pressure is not an indicator of its effectiveness.

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A community health nurse is providing an in-service to new staff members on isolation precautions. Which of the following diseases should the nurse identify as requiring airborne precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A community health nurse is providing an in-service to new staff members on isolation precautions. Which of the following diseases should the nurse identify as requiring airborne precautions?