A nurse is assisting with the admission of a client who requires droplet precautions due to influenza. Which nursing action should be completed?
make sure the client's room has HEPA filtration
wear a mask when providing the client care
wear a gown when providing the client care
make sure the client's room has negative airflow
The Correct Answer is B
A. HEPA filtration is not typically required for clients on droplet precautions.
B. Droplet precautions require healthcare workers to wear a mask when providing care to prevent the transmission of respiratory droplets.
C. Gowns are not typically required for clients on droplet precautions unless there is potential for contact with body fluids.
D. Negative airflow is not specifically indicated for clients on droplet precautions; it is more commonly associated with airborne precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.
B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.
C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.
D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.
Correct Answer is ["C","D","F","G"]
Explanation
A. The absence of pain does not necessarily indicate the absence of infection.
B. An oral temperature of 98.9 degrees F is within the normal range and does not indicate infection.
C. Decreased level of consciousness can be a sign of systemic infection, especially if accompanied by other symptoms.
D. An elevated white blood cell count (WBC) is indicative of an inflammatory response, which can occur in infection.
E. A scab forming on the incision line is a normal part of wound healing and does not necessarily indicate infection.
F. Crackles in bilateral lung bases may indicate a possible infection.
G. Redness and warmth at the incision site are signs of inflammation and can indicate infection.
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