A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

Airborne

Droplet

Contact

Protective environment

Answer and Explanation

The Correct Answer is C

A. Airborne precautions are used for diseases transmitted by tiny particles that remain suspended in the air and are inhaled, such as tuberculosis or measles. Mononucleosis is not spread through
the airborne route.

B.   Droplet precautions are for diseases transmitted by respiratory droplets, like influenza or pertussis. While mononucleosis can be transmitted through respiratory secretions, it's primarily spread through direct contact with saliva.
C.   Contact precautions involve preventing the transmission of pathogens by direct or indirect contact. Given that mononucleosis is transmitted through saliva, contact precautions, including wearing gloves and gowns, are appropriate to prevent its spread.
D.   Protective environment precautions are used to protect immunocompromised patients from outside pathogens, such as those recovering from bone marrow transplants. They are not applicable for a client with mononucleosis.

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Correct Answer is B

Explanation

A. "You should follow the label directions based on your child's weight." While dosing according to weight is a common practice for many medications, it's essential to emphasize the importance of avoiding aspirin in children due to the risk of Reye's syndrome, a rare but serious condition associated with aspirin use in viral illnesses.
B. "You should avoid administering aspirin to your child." This response is correct because the use of aspirin in children, especially during viral infections, can increase the risk of Reye's syndrome, a severe condition that affects the brain and liver.
C. "Your child will require an antibiotic if she develops a fever." Antibiotics are not typically

indicated for fever unless the fever is caused by a bacterial infection. It's important to address the parent's question about managing fever specifically.
D. "Your child can have two baby aspirins every 4 hours." This response is incorrect and potentially harmful. Aspirin should not be given to children due to the risk of Reye's syndrome.

A. Encourage the client to talk about current events. B. Give directions using simple phrases. C. Orient the client to time and place twice per day. D. Rotate assistive personnel to help the client with ADLs.

Correct Answer is B

Explanation

A. Encouraging the client to talk about current events may not be effective, as individuals with Alzheimer's disease may have difficulty following complex conversations or remembering recent events.
B. Giving directions using simple phrases is essential for effective communication with individuals who have Alzheimer's disease. Using clear, concise language helps reduce confusion and frustration and improves the client's ability to understand and follow instructions.
C. Orienting the client to time and place twice per day can be helpful for some individuals with Alzheimer's disease, but the frequency and method of orientation may vary depending on the client's specific needs and preferences. It may not be necessary to orient the client twice per day in all cases.
D. While it's important to provide consistent care to clients with Alzheimer's disease, rotating assistive personnel frequently may lead to confusion and distress for the client. Consistency and familiarity with caregivers can help establish trust and improve the client's sense of security.

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A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

Nursing Test Bank

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