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 B

Explanation

A. The Administration for Children and Families primarily handles welfare and family support programs, not HIPAA administrative provisions.

B. The Centers for Medicare and Medicaid Services (CMS) is responsible for implementing and administering many aspects of HIPAA related to health care providers, insurers, and payment systems.

C. The Social Security Administration manages social security programs but does not handle HIPAA administrative provisions.

D. The Health Resources and Services Administration is focused on improving access to health care for underserved populations, not directly responsible for HIPAA administration.

A. Provide the client with a diet high in protein. B. Massage bony prominences to promote circulation. C. Reposition the client every 3 hr. D. Apply cornstarch to keep the skin dry.

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.

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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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