A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Administer aspirin if the client develops a fever.

Initiate contact precautions for the client.

Assign the client to a negative-pressure airflow room.

Have visitors remain at least 0.91 m (3 feet. away from the client.

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Assign the client to a negative-pressure airflow room.

Choice A rationale:

Administering aspirin to a client with varicella zoster is not recommended due to the risk of Reye’s syndrome, a serious condition that can cause swelling in the liver and brain.

Choice B rationale:

While contact precautions are important, varicella zoster also requires airborne precautions due to its highly contagious nature. This means that simply initiating contact precautions is not sufficient.

Choice C rationale:

Assigning the client to a negative-pressure airflow room is crucial because it helps contain the airborne virus and prevents it from spreading to other areas of the hospital.

Choice D rationale:

Having visitors remain at least 0.91 m (3 feet) away from the client is a good practice, but it is not sufficient on its own to prevent the spread of the virus. Airborne precautions, including a negative-pressure room, are necessary.

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Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Explanation

Incorrect Options

Osteoporosis: This condition is primarily characterized by bone density loss and an increased risk of fractures. It would not be indicated by bilateral wrist and shoulder stiffness. Instead, osteoporosis symptoms include bone density loss and potentially fractures.
Hypertension: Hypertension involves consistently high blood pressure. Bilateral wrist and shoulder stiffness are not typical symptoms of hypertension. The primary indicator for hypertension is elevated blood pressure.
Diabetes Mellitus: This metabolic disorder is characterized by high blood glucose levels. Symptoms related to diabetes include elevated blood glucose levels, not joint stiffness.
Chronic Obstructive Pulmonary Disease (COPD): COPD is a respiratory condition marked by shortness of breath, chronic cough, and other respiratory symptoms. It would not be indicated by joint stiffness but rather by respiratory difficulties such as shortness of breath.

In contrast, rheumatoid arthritis is an autoimmune disease that primarily affects the joints, leading to symptoms such as bilateral wrist and shoulder stiffness. Therefore, the correct answer is "rheumatoid arthritis" and "bilateral wrist and shoulder stiffness," while the incorrect options provided do not align with the symptoms of rheumatoid arthritis.

A. Cause of the client's death B. Last set of the client's vital signs C. Copy of the client's advance directives D. Location of the identification tag on the client's body

Correct Answer is D

Explanation

A. Incorrect. The cause of death is an important piece of information but is typically included in the official death certificate rather than in routine postmortem documentation.
B. Incorrect. While vital signs are important during the client's care, the last set of vital signs is not usually a primary focus of postmortem documentation.
C. Incorrect. Advance directives are relevant to the client's care during life but are not typically included in postmortem documentation.
D. Correct. Documentation of the location of the identification tag on the client's body is important for accurate identification and tracking during the postmortem process.

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A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Explanation

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Correct Answer is D

Explanation

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