A new patient is admitted to a medical unit with Clostridium difficile (C-diff). Which type of precautions or isolation should the nurse apply for this patient?

Droplet Precautions

Contact Precautions

Airborne Precautions

Neutropenic Precautions

Answer and Explanation

The Correct Answer is B

The correct answer is choice B: Contact Precautions. Clostridium difficile (C-diff) is a bacterium that can cause severe diarrhea and other gastrointestinal problems. It is highly contagious and spreads through contact with contaminated surfaces or objects. Therefore, it is necessary to apply Contact Precautions for patients with C-diff to prevent the transmission of the infection. Contact Precautions involve wearing gloves and gowns when entering the patient's room and disposing of contaminated items properly. Additionally, hand hygiene is critical to preventing the spread of C-diff.

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Correct Answer is A

Explanation

The correct answer is choice A. When conducting a physical assessment of the extremities, the most appropriate assessment would be to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity. This comprehensive assessment can help to identify potential issues with circulation, strength, and skin integrity, and can also provide a baseline for ongoing assessments. Rebound tenderness in both the arms and legs, skin turgor, and moisture (choice B) are not typically assessed during a physical assessment of the extremities. Assessing the measurements in centimeters of each extremity, pulses, and varicosities (choice C) may be appropriate in certain situations, but it is not a comprehensive assessment of the extremities. Assessing pulses, strength, range of motion, percussion, odor, and edema (choice D) is also not a comprehensive assessment of the extremities and may not provide a complete picture of the client's condition. Therefore, the most appropriate assessment when conducting a physical assessment of the extremities is to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.

A. The nurse should provide the visitor with details of how the patient is doing but direct the visitor to talk to the family about ways they can help. B. The nurse should state that the family does not need any help and tell the visitor to leave. C. The nurse should tell the visitor that they cannot share any information and ask the visitor to talk to the family directly. D. The nurse should invite the visitor into the home to learn the care techniques required by the client's condition.

Correct Answer is C

Explanation

The correct answer is choice C. The nurse should maintain HIPAA compliance by not sharing any patient information with a non-designated person, even if they identify as a family friend. The nurse should inform the visitor that they cannot share any patient information and suggest that they talk to the patient's family directly if they wish to offer assistance. It is important to protect patient privacy and confidentiality and to only share information with authorized individuals who have a legitimate need to know.

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A new patient is admitted to a medical unit with Clostridium difficile (C-diff). Which type of precautions or isolation should the nurse apply for this patient?

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Naxlex Comprehensive Predictor Exams

When conducting a physical assessment of the extremities, which of the following assessments would be the most correct?

Correct Answer is A

Explanation

A home care nurse is caring for a comatose patient who requires total care. A visitor stops by the house identifying as a family friend and inquires about the patient's condition and if there is anything they can do to help the family. How should the nurse respond to maintain HIPAA compliance?

Correct Answer is C

Explanation

A nurse is implementing interventions to prevent a patient from developing Deep Vein Thrombosis (DVT) in the legs by applying a pneumatic or sequential compression device (SCD's). Which explanation would the nurse give the patient in regards to how this device works?

A patient has an order for Normal Saline 1000 mL to infuse over 3 hours. The medication will be infused with an IV pump. How many mL/h should the IV pump be programmed for?

A new perioperative nurse is being educated regarding surgical asepsis. What observations by the preceptor would indicate that there is a need for further education and reinforcement of the principles of asepsis?

A nurse is performing a physical assessment of a patient who is experiencing fluid volume excess. Upon examination of the patient's legs, the nurse documents: Pitting edema; 8-mm pit. Pit remained for 4 minutes after pressing. What grade of edema has this nurse documented?

A nurse is caring for a client who is being treated for bladder infection. The client reports to the nurse that he has been having painful burning with urination. How should the nurse document the client's condition?

Which of the following is the best example of a measurable client goal? The client will:

The nurse is caring for a client with moderate vision loss. Which intervention would be most appropriate for this client?

A nurse is caring for a client who has a history of falling at their assisted living facility. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall?