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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The systolic blood pressure is clearly stated as "102 mm Hg" in the documentation. There is no need for clarification regarding the systolic value.
B. It is essential to document the site where the blood pressure was taken, as this can affect the accuracy of the reading. Typically, the blood pressure is measured in the brachial artery in the upper arm. If the cuff was placed on a different site, such as the wrist or ankle, this should be noted in the documentation.
C. The unit of measurement for blood pressure is correctly indicated as "mm Hg" (millimeters of mercury). There is no need for clarification regarding the unit since it is standard and clear.
D. The position of the client is correctly documented as sitting up in a chair.
Correct Answer is B
Explanation
A. This is not a therapeutic communication technique. Passive responses can create barriers to communication and may lead to misunderstandings. They often convey a lack of interest or engagement, which is counterproductive in therapeutic settings.
B. This is a valuable therapeutic communication technique. Silence allows clients to reflect on their thoughts and feelings, giving them the space to express themselves without pressure. It can encourage deeper conversation and provide opportunities for the nurse to observe non-verbal cues.
C. Offering personal opinions is generally not considered a therapeutic communication technique. It can shift the focus away from the client and may inadvertently lead to judgment or bias. Instead,
therapeutic communication emphasizes listening and understanding the client’s perspective without imposing personal views.
D. While offering sympathy may seem caring, it can sometimes lead to a focus on the nurse's feelings rather than the client's experience. Sympathy may not promote empowerment or exploration of the client’s feelings as effectively as empathy, which involves understanding and validating the client's
emotions without imposing one’s own feelings.
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