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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Disposing of used syringes in the household trash poses a risk of accidental needle sticks to others. The correct method of disposal is using a puncture-resistant container.
B. Storing the current bottle of insulin in the refrigerator is the correct practice to maintain the stability and effectiveness of the insulin. Insulin should be kept refrigerated until opened and
then can be kept at room temperature for up to 28 days.
C. Holding the needle at a 15° angle to the skin is not the recommended technique for insulin injection. The correct angle for subcutaneous insulin injection is usually 45 or 90 degrees, depending on the client's body habitus and the length of the needle.
D. Using an injection site that is 1 inch from the previous site may lead to lipohypertrophy, a condition characterized by fatty tissue buildup under the skin, which can affect insulin absorption. It is recommended to rotate injection sites to avoid this complication.
Correct Answer is A
Explanation
A. This is the correct answer. Seizures lasting longer than 5 minutes can be indicative of status epilepticus, a medical emergency requiring immediate intervention.
B. Restraint during a seizure can cause injury to the child and is not recommended. Instead, it's important to ensure the child's safety by removing nearby objects and gently guiding them to the floor if possible.
C. Offering a bubble bath every evening is not relevant to seizure care and does not contribute to the child's safety or well-being.
D. Placing the child in a prone position during a seizure can obstruct the airway and increase the risk of aspiration. The child should be placed in a lateral recumbent position to maintain an open airway and prevent injury.
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