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 C

Explanation

A reason:

A client with diarrhea after taking antibiotics for 10 days for a UTI is not the most appropriate to assign to a private room. While this client may have an infection, diarrhea alone does not typically warrant isolation over other more contagious conditions.

B reason:

A client with abdominal pain and a fever may have an infection, but without more specific symptoms indicating a highly contagious disease, this client does not necessarily require a private room over others with more concerning symptoms.

C reason:

A client with a productive cough that is blood tinged is the most appropriate to assign to the private room. This client could have a highly contagious respiratory infection such as tuberculosis, which requires isolation to prevent the spread of infection to others in the hospital.

D reason:

A client with a wound infection and draining pus-like drainage needs careful management to prevent cross-contamination, but respiratory infections typically take precedence for private rooms due to their high contagion potential.

A. Massage the skin over the client's bony prominences. B. Use a transfer device to lift the client up in bed. C. Elevate the head of the bed no more than 45 degrees. D. Apply cornstarch to keep sensitive skin areas dry.

Correct Answer is B

Explanation

A reason:

Massaging the skin over bony prominences is incorrect. This can cause damage to underlying tissues, particularly in areas at high risk for pressure ulcers.

B reason:

Using a transfer device to lift the client up in bed is correct. This helps to reduce friction and shear, which can contribute to skin breakdown and pressure ulcer development.

C reason:

Elevating the head of the bed no more than 45 degrees can help, but it is not as directly related to maintaining skin integrity as using a transfer device. Elevating the head too much can increase pressure on the sacrum and heels.

D reason:

Applying cornstarch is not recommended as it can promote fungal growth and irritation. Proper moisture management with barrier creams is more effective for keeping skin dry and intact.

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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

Four clients with infections arrive at the emergency department with some existing infection, however, only one private room is available. Which of the following clients is the most appropriate to assign to the private room?

Correct Answer is C

Explanation

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

Correct Answer is B

Explanation

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