A nurse is caring for a 62-year-old client with manifestations of an infection.
Which of the following actions should the nurse take? (Select all that apply.)
Encourage the client to increase fluid intake.
Wear a mask when caring for the client.
Prepare to administer an antibiotic to the client.
Place the client in a private room.
Place the client on contact precautions.
Correct Answer : A,B,D
A. Encourage the client to increase fluid intake: This is important to prevent dehydration, which can be a complication of influenza.
B. Wear a mask when caring for the client: Influenza is a highly contagious virus, and wearing a mask can help prevent the spread of infection.
C. Prepare to administer an antibiotic to the client: Antibiotics are not typically used to treat influenza, which is a viral infection. However, if a bacterial infection develops as a complication, antibiotics may be necessary.
D. Place the client in a private room: Isolating the client in a private room can help prevent the spread of influenza to other patients and healthcare workers.
E. Place the client on contact precautions: Influenza is primarily spread through respiratory droplets, so droplet precautions are appropriate. Contact precautions are not necessary for influenza.
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Related Questions
Correct Answer is A
Explanation
A. Surgical intervention is the most common and effective treatment for age-related cataracts. Cataract surgery involves the removal of the cloudy lens and replacement with an artificial intraocular lens, which can significantly improve vision.
B. Corticosteroid eye drops are not used to treat cataracts; they are generally prescribed for reducing inflammation in various eye conditions but do not address the lens opacity caused by cataracts.
C. Antioxidant supplements, beta-carotene, and selenium have been studied for their potential role in slowing the progression of cataracts, but they are not considered a primary treatment once cataracts have developed to the point of affecting vision.
D. Eyeglasses or magnifying lenses may help improve vision temporarily in the early stages of cataracts, but they do not treat the underlying cause and are not effective in advanced cases. Surgery remains the definitive treatment.
Correct Answer is C
Explanation
A. Obtaining pulmonary function tests can help assess the extent of respiratory involvement but is not the immediate priority in an emergency situation like anaphylaxis.
B. Assessing blood pressure is important to monitor for signs of shock, but administering epinephrine takes precedence in treating anaphylaxis.
C. Administering epinephrine is the first-line treatment for anaphylaxis. Epinephrine rapidly reverses the symptoms of anaphylaxis, such as airway constriction and low blood pressure, making it the highest priority intervention.
D. Assessing the client's level of consciousness is important but should occur after the administration of epinephrine, which is critical in reversing the anaphylactic reaction.
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