A nurse is admitting a client who has a wound infected with vancomycin-resistant enterococci (VRE). Which of the following types of precautions should the nurse plan to initiate?
Airborne
Protective
Contact
Droplet
The Correct Answer is C
A reason:
Airborne precautions are not required for VRE. These precautions are used for infections transmitted through the air, such as tuberculosis, which is not the case with VRE.
B reason:
Protective precautions (also known as neutropenic or reverse precautions) are used to protect immunocompromised patients from infections. They are not appropriate for preventing the spread of VRE.
C reason:
Contact precautions are correct. VRE is typically transmitted through direct or indirect contact with contaminated surfaces or infected body fluids. Contact precautions help prevent the spread of VRE to other patients and healthcare workers.
D reason:
Droplet precautions are used for infections transmitted through respiratory droplets, such as influenza. VRE is not transmitted in this manner, so droplet precautions are not necessary.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A reason:
A client with diarrhea after taking antibiotics for 10 days for a UTI is not the most appropriate to assign to a private room. While this client may have an infection, diarrhea alone does not typically warrant isolation over other more contagious conditions.
B reason:
A client with abdominal pain and a fever may have an infection, but without more specific symptoms indicating a highly contagious disease, this client does not necessarily require a private room over others with more concerning symptoms.
C reason:
A client with a productive cough that is blood tinged is the most appropriate to assign to the private room. This client could have a highly contagious respiratory infection such as tuberculosis, which requires isolation to prevent the spread of infection to others in the hospital.
D reason:
A client with a wound infection and draining pus-like drainage needs careful management to prevent cross-contamination, but respiratory infections typically take precedence for private rooms due to their high contagion potential.
Correct Answer is D
Explanation
A reason:
Restricting the client's ability to eat, speak, or drink is incorrect. A nasal cannula is designed to allow clients to eat, speak, and drink comfortably while receiving oxygen therapy.
B reason:
Delivering a constant rate of a specific concentration of oxygen is somewhat accurate but incomplete. The concentration can vary based on the flow rate set by the healthcare provider.
C reason:
Delivering a high concentration of oxygen is incorrect. Nasal cannulas typically provide low to moderate concentrations of oxygen, depending on the flow rate (usually 1-6 liters per minute).
D reason:
Delivering a low concentration of oxygen is correct. Nasal cannulas are used to provide supplemental oxygen at low flow rates, suitable for clients who require minimal assistance with their oxygen levels.
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