A nurse is assisting with the admission of a client who has influenza. Which of the following isolation precautions should the nurse plan to initiate?
Contact
Airborne
Protective environment
Droplet
The Correct Answer is D
A. Contact
Used for organisms like MRSA or C. difficile-not influenza alone.
B. Airborne
Reserved for diseases like tuberculosis, measles, or varicella.
C. Protective environment
For immunocompromised patients (e.g., post-transplant)-not for clients with infectious diseases like influenza.
D. Droplet
Influenza is spread via respiratory droplets; droplet precautions are necessary, including a mask and spatial separation of at least 3 feet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Number scale
Requires verbal communication and abstract reasoning, not appropriate for advanced dementia.
B. Color scale
Also requires cognitive recognition that may be impaired in dementia.
C. Behavioral pain scale
This scale assesses pain using facial expression, body movements, and vocalizations.
D. Pieces of pain scale
This is generally used for pediatric clients, not those with dementia.
Correct Answer is D
Explanation
A. Contact
Used for organisms like MRSA or C. difficile-not influenza alone.
B. Airborne
Reserved for diseases like tuberculosis, measles, or varicella.
C. Protective environment
For immunocompromised patients (e.g., post-transplant)-not for clients with infectious diseases like influenza.
D. Droplet
Influenza is spread via respiratory droplets; droplet precautions are necessary, including a mask and spatial separation of at least 3 feet.
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