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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Massaging areas around the edge of the cast with lotion can introduce moisture and compromise the integrity of the cast, increasing the risk of skin breakdown and infection.
B. Elevating the extremity when the client is resting in bed helps reduce swelling and improve circulation, promoting healing. It is an appropriate action for a client with a cast.
C. Inserting objects under the cast can damage the skin, increase the risk of infection, or disrupt the integrity of the cast.
D. Numbness can indicate impaired circulation or nerve compression and warrants immediate assessment, making this the correct action.
Correct Answer is C
Explanation
A. Providing a low-protein diet is not indicated for managing sickle-cell disease or vasoocclusive crisis. In fact, adequate protein intake is important for tissue repair and healing.
B. Applying cold compresses to painful areas may exacerbate vaso-occlusive crisis by causing vasoconstriction, which can further impede blood flow to affected tissues.
C. Performing passive range-of-motion exercises helps prevent complications associated with immobility during a vaso-occlusive crisis, such as muscle atrophy and joint contractures, and promotes circulation and pain relief.
D. Limiting fluid intake during the evening is not typically recommended for individuals with sickle-cell disease, as adequate hydration is essential for preventing dehydration and maintaining circulation, especially during a vaso-occlusive crisis.
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