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 C

Explanation

A. Esteem needs involve feelings of self-worth, accomplishment, and recognition. While losing a home can impact self-esteem, the immediate concerns for the couple are more fundamental and related to their basic needs for safety and security.
B. Self-actualization refers to the realization of one's potential, personal growth, and peak experiences. This level of need is focused on personal fulfillment and growth, which is not relevant to the immediate crisis the couple is facing after losing their home.
C. Safety needs encompass the need for security, stability, and protection from harm. After losing their home in a fire, the couple's primary concerns will likely involve finding safe shelter, addressing immediate safety concerns, and securing their well-being.
D. Physiological needs include the basic requirements for human survival, such as food, water, shelter, and warmth. While these needs are critical, the loss of their home primarily impacts their safety needs at this moment.

A. Systolic blood pressure B. Location of blood pressure cuff C. Unit of measurement D. Position of the client

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.

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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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Naxlex Comprehensive Predictor Exams

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