A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?

Place the client in a room with negative airflow.

Wear a gown when providing care to the client.

Ensure the client's room has HEPA filtration.

Wear a mask when providing care to the client.

Answer and Explanation

The Correct Answer is D

A. Inspection is usually done first to observe any obvious abnormalities, but it is not the immediate action when the client reports pain.

B. Palpation should be done last, as it can cause discomfort or alter the findings of other assessment techniques.

C. Auscultating the abdomen should be done second after inspection. This is recommended because bowel sounds should be assessed before palpation, as palpation may alter the sounds.

D. Percussion can follow auscultation, but it is not the immediate action.

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Correct Answer is A

Explanation

A. A diet high in protein is essential for maintaining skin integrity and promoting wound healing, as protein helps to maintain tissue strength and repair.

B. Massaging bony prominences is not recommended because it can cause further damage to the skin and underlying tissues.

C. The client should be repositioned every 2 hours to prevent pressure sores, not every 3 hours.

D. Cornstarch should not be used because it can cause skin irritation and lead to fungal infections. Powder-based products should be avoided on fragile skin.

A. File the nails in a rounded shape. B. Clean under the nail with an orange stick C. Push the cuticles back with a metal nail file. D. Trim the nails at the lateral corners.

Correct Answer is B

Explanation

A. Filing nails in a rounded shape may lead to ingrown nails, so a straight-across filing is recommended for safety and proper nail care.

B. An orange stick is commonly used to clean under the nails, as it is gentle and reduces the risk of injury to the nail bed.

C. Pushing the cuticles back with a metal nail file can cause injury and infection. A soft tool like an orangewood stick is preferred.

D. Trimming the nails at the lateral corners is not recommended as it can cause the nails to become ingrown. Nails should be trimmed straight across.

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A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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