A nurse is assisting with the care of a client who is placed on droplet precautions. Which of the following actions should the nurse take?

Wear a surgical mask when within 0.6 m (2 ft) of the client.

Place a surgical mask on the client when they leave their room.

Move the client to a positive airflow room.

Remove fresh flowers from the client's room.

Answer and Explanation

The Correct Answer is A

A.   The nurse should wear a surgical mask when within 0.6 m (2 ft) of the client to prevent the spread of infection. This is one of the key precautions for droplet isolation.
B.   Clients who are placed on droplet precautions should wear a surgical mask when they leave their room to prevent the spread of infection to others. However, it is not necessary for the nurse to place a mask on the client.
C.   Clients who are placed on droplet precautions should be isolated in a private room or in a room with other clients who have the same infection. A positive airflow room is typically used for clients who are immunocompromised or have airborne infections.
D.   Fresh flowers do not pose a significant risk of infection transmission and can be kept in the client's room.

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Correct Answer is B

Explanation

A. This is an example of primary prevention. Vaccinations are aimed at preventing illness before it occurs by building immunity, making this an action focused on health promotion and disease prevention.
B. This is an example of secondary prevention. Mammograms are screening tests used to detect breast cancer early in asymptomatic individuals, allowing for early intervention and treatment. This level of prevention focuses on early detection and intervention.
C. This is an example of tertiary prevention. An echocardiogram is used to assess and manage an existing health condition (heart failure) rather than to prevent the onset of a disease. This level of prevention focuses on managing and minimizing the effects of established diseases.
D. This does not represent a level of prevention but rather indicates a decision to not pursue further diagnostic testing based on the absence of symptoms. This choice aligns more with the absence of active preventive measures rather than a defined level of prevention.

A. Incubation B. Period of convalescence C. Acute illness D. Prodromal

Correct Answer is C

Explanation

A. During this time, the person may be infected but does not exhibit any symptoms. Since the client is already experiencing symptoms (sneezing, productive cough, muscle aches, headache, and fever), they are not in the incubation stage.
B. This stage occurs after the acute phase of an infection when the symptoms begin to subside, and the individual starts to recover. The client is still exhibiting significant symptoms, so this stage does not apply.
C. This is the stage of an infection where the individual experiences the most severe symptoms. The
client’s symptoms, including sneezing, cough, muscle aches, headache, and fever, indicate that they are
likely in this stage, as these signs point to a full-blown illness.
D. The prodromal stage is the period following the incubation stage, where the first signs and symptoms appear but are not yet specific or severe. Symptoms can be vague and may include mild aches or fatigue. Since the client is presenting with significant symptoms, they are beyond the prodromal stage.

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A nurse is assisting with the care of a client who is placed on droplet precautions. Which of the following actions should the nurse take?

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