A nurse is caring for a client who has a wound infection. Wound cultures identify the infecting organism as vancomycin-resistant enterococci (VRE). Which type of precautions should the health care team initiate?
droplet precautions
neutropenic precautions
airborne precautions
contact precautions
The Correct Answer is D
A. Droplet precautions are used for diseases transmitted via respiratory droplets, such as influenza or pertussis.
B. Neutropenic precautions are implemented to protect clients with compromised immune systems from exposure to pathogens, typically in the environment.
C. Airborne precautions are used for diseases transmitted via small droplet nuclei that remain suspended in the air, such as tuberculosis or measles.
D. Contact precautions are appropriate for clients infected or colonized with multidrug-resistant organisms like VRE, requiring the use of gloves and gowns when providing care to prevent transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F"]
Explanation
A. The client's signs and symptoms, including crackles on auscultation and difficulty breathing, warrant a chest x-ray to assess for possible pneumonia or other respiratory conditions.
B. Obtaining a sputum culture can help identify the causative organism and guide antibiotic therapy for respiratory infection.
C. Antibiotic therapy is indicated for the treatment of respiratory infection, especially if the sputum culture indicates bacterial involvement.
D. There is no indication for inserting a Foley catheter based on the client's signs and symptoms.
E. Nasogastric tube insertion for decompression is not indicated based on the client's respiratory symptoms.
F. Oxygen therapy is indicated for the client's low oxygen saturation level and respiratory distress. Applying oxygen at 2L per nasal cannula can help improve oxygenation.
Correct Answer is D
Explanation
A. While a repeat titer could be considered, if the initial result is negative, administration of the rubella vaccine is typically the next step.
B. Administration of immune globulin is not indicated in this scenario.
C. A negative rubella titer indicates lack of immunity, so further action is needed to protect the individual.
D. Administration of the rubella vaccine is indicated for individuals with a negative rubella titer to provide protection against rubella infection.
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