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 A

Explanation

A. Assertive communicators express their thoughts, feelings, and needs confidently and directly while respecting others. They advocate for themselves without being aggressive or passive, making this an essential characteristic of assertive communication.
B. Passive communicators typically avoid confrontation and do not express their thoughts or feelings openly. While they may harbor resentment or frustration, they do not usually display hostility outright; instead, they may internalize their feelings or withdraw. Hostility is more characteristic of aggressive communicators.
C. Assertive communicators do not communicate resentment in secretive ways; rather, they express their feelings openly and directly. They address issues as they arise, which helps to prevent the buildup of resentment that can occur in passive or aggressive communication styles.
D. Passive communicators often struggle to communicate clearly and honestly. They may avoid stating their needs or opinions for fear of conflict, leading to unclear and ambiguous communication. This can create misunderstandings and frustration.

A. Quaternary B. Primary C. Secondary D. Tertiary

Correct Answer is D

Explanation

A. Quaternary prevention focuses on preventing unnecessary interventions or overmedicalization. It aims to protect patients from harm and ensure that they receive only the necessary care. Administering insulin does not fit this definition.
B. Primary prevention involves measures taken to prevent the onset of disease or injury before it occurs. This includes health education, vaccinations, and lifestyle changes to prevent diseases. Administering insulin does not fall under this category, as it does not prevent diabetes but rather manages it.
C. Secondary prevention aims to detect and treat diseases early to reduce their impact. This includes screenings and interventions that occur after a disease has developed but before significant symptoms appear. Administering insulin is not a preventive measure in this context.
D. Tertiary prevention involves managing and reducing the impact of an existing disease. It focuses on rehabilitation and maintaining quality of life. Administering insulin to a client with type 1 diabetes is an example of tertiary prevention, as it is part of the management and treatment of a chronic condition to prevent complications.

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