A nurse is caring for a client.
Based on the information in the EHR, which of the following actions should the nurse take? Select all that apply.
Wear a mask when caring for the client.
Place the client on airborne precautions.
Place the client in private room.
Prepare to administer an antibiotic to the client.
Encourage the client to increase fluid intake.
Correct Answer : A,C,E
A. Wear a mask when caring for the client. Influenza B is transmitted through droplet particles, so healthcare providers should wear a mask within 3 to 6 feet of the client to reduce the risk of transmission.
B. Place the client on airborne precautions. Airborne precautions are not necessary for influenza B. Droplet precautions are required, which involve wearing a mask and placing the client in a private room if possible. Airborne precautions are typically reserved for infections like tuberculosis, measles, and varicella.
C. Place the client in a private room. Clients with influenza should be placed in a private room or cohorted with another client with the same strain of the virus to prevent the spread of infection. This is a standard infection control measure for droplet precautions.
D. Prepare to administer an antibiotic to the client. Influenza B is a viral infection, and antibiotics are ineffective against viruses. Antiviral medications like oseltamivir (Tamiflu) may be prescribed instead, particularly if the client is within the first 48 hours of symptom onset.
E. Encourage the client to increase fluid intake. Fever, increased respiratory rate, and flulike symptoms can contribute to dehydration, so increasing oral fluid intake helps prevent dehydration, loosen respiratory secretions, and support overall recovery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Clients who have BRCA1 or BRCA2 gene changes have a decreased risk of breast cancer.". This statement is incorrect. Mutations in the BRCA1 and BRCA2 genes significantly increase the risk of breast and ovarian cancer. Individuals with these mutations often require increased surveillance or preventive measures, such as prophylactic mastectomy or oophorectomy.
B. "Breast cancer can occur in any part of the breast, but ductal breast cancer is most common.". This is correct. Invasive ductal carcinoma (IDC) is the most common type of breast cancer, accounting for about 80% of cases. Although breast cancer can originate in different tissues, most cases begin in the milk ducts or lobules.
C. "Breastfeeding increases the risk of breast cancer in women over 40 years of age.". This is incorrect. Breastfeeding actually reduces the risk of breast cancer by lowering estrogen levels, which can fuel some types of breast cancer. The protective effect is stronger with longer breastfeeding duration.
D. "Clients should begin screening mammography annually by the age of 30 years old.". Routine mammography screening generally begins at age 40 or 50, depending on individual risk factors and guidelines from different health organizations. Highrisk clients (e.g., BRCA mutation carriers or strong family history) may need earlier screening, but 30 is not the standard recommendation for the general population.
Correct Answer is A
Explanation
A. Give the child acetaminophen for discomfort.This is the most appropriate discharge instruction. Mild discomfort at the catheter insertion site is common after a cardiac catheterization. Acetaminophen is recommended for pain relief as it is effective and does not increase the risk of bleeding, unlike NSAIDs (e.g., ibuprofen, aspirin), which can interfere with platelet function.
B. Offer the child clear liquids for the first 24 hr. The child can resume a normal diet as tolerated after the procedure. There is no restriction to clear liquids unless the child experiences nausea or vomiting postprocedure. Encouraging hydration is important, but there is no need to limit food intake unless directed by the provider.
C. Assist the child to take a tub bath for the first 3 days. The child should avoid tub baths for at least 3 days to prevent infection and irritation at the catheter insertion site. Instead, a sponge bath or quick shower is recommended to keep the area clean and dry.
D. Keep the child home for 1 week. Most children can resume normal activities within 24 to 48 hours, although strenuous activities, such as sports and heavy lifting, should be avoided for several days. The exact time frame depends on the child’s condition and provider recommendations, but a full week of home rest is usually unnecessary unless complications occur.
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