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 B

Explanation

A reason:

Applying wrist and leg restraints is an extreme measure and should be used only as a last resort when all other interventions have failed. Restraints can cause physical and psychological harm and should be avoided if possible.

B reason:

Moving the client to a room closer to the nurses' station is the best option. This allows for closer monitoring and quick intervention if the client's condition worsens or if they become a danger to themselves.

C reason:

Administering medication to sedate the client is not the first action to take. Sedation can mask symptoms and lead to further complications. Non-pharmacologic interventions should be considered first.

D reason:

Calling the family and asking them to stay with the client may provide comfort and help reduce confusion, but it is not a substitute for proper medical intervention and monitoring. The priority is to ensure the client is in a safe environment where they can be closely monitored by medical staff.

A. Restricts the client's ability to eat, speak, or drink B. Delivers a constant rate of a specific concentration of oxygen C. Delivers a high concentration of oxygen D. Delivers a low concentration of oxygen

Correct Answer is D

Explanation

A reason:

Restricting the client's ability to eat, speak, or drink is incorrect. A nasal cannula is designed to allow clients to eat, speak, and drink comfortably while receiving oxygen therapy.

B reason:

Delivering a constant rate of a specific concentration of oxygen is somewhat accurate but incomplete. The concentration can vary based on the flow rate set by the healthcare provider.

C reason:

Delivering a high concentration of oxygen is incorrect. Nasal cannulas typically provide low to moderate concentrations of oxygen, depending on the flow rate (usually 1-6 liters per minute).

D reason:

Delivering a low concentration of oxygen is correct. Nasal cannulas are used to provide supplemental oxygen at low flow rates, suitable for clients who require minimal assistance with their oxygen levels.

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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 caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?

Correct Answer is D

Explanation

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