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 D

Explanation

A. Offering approval or disapproval can create a judgmental atmosphere, potentially making clients feel defensive or unsupported. Therapeutic communication should focus on understanding and empathizing with the client rather than evaluating their feelings or actions.
B. This technique can be problematic in therapeutic communication. Asking clients to explain their feelings or behaviors may come off as interrogative or dismissive, which can hinder open dialogue. It’s often more effective to explore the client’s feelings without requiring justification.
C. While offering sympathy may seem caring, it can shift the focus from the client’s feelings to the nurse's emotions. Sympathy often implies pity and can create a power imbalance, whereas therapeutic communication should aim for empathy—understanding and validating the client's experiences without imposing one's own feelings.
D. This is a key technique in therapeutic communication. Open-ended questions encourage clients to express themselves freely, providing more information and facilitating deeper conversations. They invite exploration and help build rapport, making clients feel heard and understood.

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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Naxlex Comprehensive Predictor Exams

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