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

Answer and Explanation

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.

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Correct Answer is ["50"]

Explanation

To calculate the infusion rate in gtts/min, the nurse should use the following formula: Infusion rate (gtts/min) = Volume (mL) x Drop factor (gtts/mL) / Time (min) Plugging in the given values, we get:

Infusion rate (gtts/min) = 400 mL x 60 gtt/mL / 480 min Simplifying, we get:

Infusion rate (gtts/min) = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 50 gtts/min.

A. as an allergic response B. as an inflammatory response C. as a viral infection D. as a bacterial infection

Correct Answer is C

Explanation

A. Allergic responses typically involve an increase in eosinophils rather than lymphocytes.
B. While an inflammatory response may involve an increase in lymphocytes, the presentation of clear nasal drainage and cough with bilateral rales suggests a respiratory infection rather than a generalized inflammatory process.
C. Elevated lymphocytes are often indicative of a viral infection, as the body mounts an immune response to fight off the viral invader.
D. Bacterial infections typically involve an increase in neutrophils rather than lymphocytes, although lymphocytosis may occur in some bacterial infections as part of the immune response.

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A nurse is assisting with the admission of a client who requires droplet precautions due to influenza. Which nursing action should be completed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtts/min? Label your answer.

Correct Answer is ["50"]

Explanation

A client is admitted with cough, congestion, bilateral rales, and clear nasal drainage. In reviewing the differential WBC the nurse notes the lymphocytes are elevated. How should the nurse interpret the elevated lymphocytes?

Correct Answer is C

Explanation

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