A nurse is caring for a 65-year-old client admitted to the hospital with symptoms of productive cough, malaise, fever, joint pain, and dehydration. What type of isolation should the patient be placed on and what type of PPE should be used?

Airborne isolation with use of N95 mask and negative air pressure room, gloves, and gown.

Droplet precautions with use of N95 mask and keep the door closed.

Contact precautions with use of gown and gloves.

Droplet precautions with use of surgical mask and keep the door closed.

Answer and Explanation

The Correct Answer is D

A reason:

Airborne isolation with an N95 mask and negative air pressure room is not necessary for symptoms typically associated with respiratory viruses like influenza.

B reason:

Droplet precautions with an N95 mask are not required unless there is a risk of aerosol-generating procedures. A surgical mask is typically sufficient.

C reason:

Contact precautions with a gown and gloves are used for infections spread by direct contact, not for respiratory infections.

D reason:

Droplet precautions with a surgical mask and keeping the door closed are correct. These precautions prevent the spread of infections that are transmitted through respiratory droplets.

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Correct Answer is D

Explanation

A reason:

Maintaining the head of the bed in a flat position is incorrect. The head of the bed should be elevated to reduce the risk of aspiration.

B reason:

Mixing the three medications together is incorrect. Medications should be administered separately to avoid potential interactions and ensure the correct dosage of each medication.

C reason:

Diluting each medication with tap water is not recommended. Sterile water or the water specified in the medication guidelines should be used for dilution to maintain safety and prevent contamination.

D reason:

Flushing the NG feeding tube with 30 ml of water immediately following medication administration is correct. This ensures that the medications are cleared from the tube and helps prevent tube blockage.

A. Gown B. Face shield C. Mask D. Gloves

Correct Answer is D

Explanation

A reason:

Removing the gown first is not correct. The gown should be removed after the gloves because the gloves are more likely to be contaminated.

B reason:

Removing the face shield first is not correct. The face shield is often removed after the gloves and gown to prevent contamination of the face and eyes.

C reason:

Removing the mask first is not correct. The mask should be removed last to ensure that no contaminants are inhaled during the removal process.

D reason:

Removing the gloves first is correct. The gloves are typically the most contaminated PPE item. Removing them first reduces the risk of transferring contaminants to other parts of the body or other PPE.

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A nurse is caring for a 65-year-old client admitted to the hospital with symptoms of productive cough, malaise, fever, joint pain, and dehydration. What type of isolation should the patient be placed on and what type of PPE should be used?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?

Correct Answer is D

Explanation

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