A nurse in reviewing the laboratory data on a client who has a new prescription for heparin for treatment of a pulmonary embolism. Which of the following data should the nurse report to the provider?

A. Airborne: Airborne precautions are used for diseases that can be transmitted through airborne droplet nuclei, such as tuberculosis or measles. Hepatitis C is not transmitted through the air, making airborne precautions unnecessary for this condition.

B. Droplet: Droplet precautions are required for infections spread through respiratory droplets, such as influenza or meningitis. Hepatitis C is not spread via respiratory droplets, so droplet precautions are not applicable.

C. Contact: Contact precautions are necessary for infections that can be transmitted through direct contact with the patient or contaminated surfaces, such as MRSA or C. difficile. While contact precautions may be applied in specific situations involving hepatitis C, they are not the standard precautions for routine care of hepatitis C patients.

D. Standard: Standard precautions are the foundation for infection control practices and are recommended for all patients, regardless of their diagnosis. This includes measures such as hand hygiene, using personal protective equipment (PPE) when necessary, and safe handling of potentially contaminated materials. Since hepatitis C is primarily transmitted through blood and body fluids, standard precautions are appropriate for caring for clients with this condition.

A. Move the client's limbs through their complete range of motion: This action describes passive range-of-motion exercises, where the nurse assists the client in moving their limbs. While this is beneficial for clients who cannot move independently, it does not align with the plan for isometric exercises, which focus on muscle contraction without joint movement.

B. Have the client move each limb independently through its complete range of motion: This describes active range-of-motion exercises, which involve the client actively moving their limbs. Although these exercises are important for maintaining joint flexibility and preventing stiffness, they are not isometric exercises, which are intended to be performed without changing the length of the muscle.

C. Ask the client to move her arms and legs while applying slight resistance: This action combines movement with resistance training, which is not consistent with isometric exercises. Isometric exercises focus solely on muscle contraction without joint movement or changing muscle length, making this option inappropriate for the prescribed plan of care.

D. Instruct the client to tighten muscle groups for a short period, and then relax: This accurately describes isometric exercises, where the client contracts specific muscle groups (e.g., arms, legs, abdomen) without moving the joints. These exercises help maintain muscle strength and prevent atrophy while the client is on bedrest. The nurse should guide the client to perform these contractions for a few seconds, followed by relaxation, as directed by the plan of care.