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.
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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Related Questions
Correct Answer is D
Explanation
A. The reservoir is the natural habitat of the infectious agent where it lives, grows, and multiplies. In the case of hepatitis A, the reservoir could be contaminated food, water, or infected individuals. The mouth is not the reservoir; rather, it is a route through which the infection enters the body.
B. The infectious agent is the pathogen (bacteria, virus, or other microorganisms) that causes the disease. For hepatitis A, the infectious agent is the hepatitis A virus itself. The mouth is not the infectious agent; it's the entry point for the virus.
C. A susceptible host is an individual who is at risk of infection due to factors such as weakened immunity, age, or underlying health conditions. The client with hepatitis A is a susceptible host, but the mouth is not categorized as such.
D. The portal of entry is the way an infectious agent enters a susceptible host. In the case of hepatitis A acquired through contaminated food, the mouth serves as the portal of entry. The virus enters the body when the contaminated food is ingested.
Correct Answer is D
Explanation
A. When a client has a fever, they are at increased risk for dehydration due to fluid loss through sweating and increased metabolic rate. The nurse should encourage adequate fluid intake to help keep the client hydrated.
B. This action is contraindicated. A warming blanket would further elevate the client's body temperature, which is counterproductive when managing a fever. The goal is to help the client cool down, not warm them up.
C. Increasing the room temperature is not advisable. A warmer environment could make the client feel more uncomfortable and may exacerbate their fever. Instead, the nurse should consider cooling measures.
D. Removing excess clothing can help the client cool down and make them more comfortable. It allows for better heat dissipation and can aid in lowering body temperature.
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