A nurse in a long-term care facility is caring for a client who is on droplet precautions. Which of the following actions by the nurse is appropriate?
Placing the client in a room with negative air pressure
Placing the client in a room with positive air pressure
Wearing a mask when assisting the client to rise to the restroom
Wearing a gown when delivering the client's meal tray
The Correct Answer is C
A. Placing the client in a room with negative air pressure:
Negative pressure rooms are required for airborne precautions (e.g., tuberculosis), not droplet precautions.
B. Placing the client in a room with positive air pressure:
Positive pressure rooms are used for immunocompromised clients, not for droplet isolation.
C. Wearing a mask when assisting the client to rise to the restroom:
Droplet precautions require wearing a surgical mask within 3 feet of the client to prevent transmission via large respiratory droplets.
D. Wearing a gown when delivering the client's meal tray:
Gowns are worn when contact with body fluids or contaminated surfaces is anticipated, not simply for delivering food to a droplet-precaution patient.
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Related Questions
Correct Answer is B
Explanation
A. The client reports insomnia:
Insomnia is a common nonmotor symptom in Parkinson’s disease, but it is not immediately life-threatening and can be addressed after urgent concerns are handled.
B. The client has difficulty swallowing:
Dysphagia increases the risk for aspiration and airway obstruction, making it a high-priority finding. Airway compromise always takes precedence in care prioritization (ABC rule).
C. The client has increased difficulty dressing:
Dressing difficulty reflects worsening motor impairment, but it is not an urgent, life-threatening problem and can be addressed with supportive interventions.
D. The client requires additional help to stand:
This indicates decreased mobility and increased fall risk, but it is still a lower priority than airway safety concerns from difficulty swallowing.
Correct Answer is A
Explanation
A. "We can still cancel the procedure if you decide that's what you want.":
This is a therapeutic response that respects the client’s autonomy and acknowledges that consent can be withdrawn at any time before the procedure begins.
B. "Are you worried that the procedure will affect your libido?":
This is a closed-ended and leading question that assumes the client’s reason without first exploring their concerns.
C. "You have already signed the informed consent form.":
This is dismissive and ignores the client’s present concerns; signing a consent form does not remove the client’s right to change their mind.
D. "You should discuss this with your partner before making a final decision.":
While involving a partner may be helpful, the decision ultimately belongs to the client, and this statement could imply the nurse is shifting responsibility away from the client.
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