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.
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Related Questions
Correct Answer is D
Explanation
A. Urine culture and sensitivity tests typically take longer than 30 minutes to yield results.
B. While some preliminary results may be available within 24 hours, the full culture and sensitivity testing usually take longer.
C. Waiting 7-10 days for results would be excessive for a urine culture and sensitivity test.
D. Typically, it takes 48-72 hours to obtain the growth and sensitivity results for a urine culture, allowing time for bacterial growth and sensitivity testing.
Correct Answer is A
Explanation
A. Neutropenic precautions are implemented when the white blood cell count is significantly decreased, typically below 1,000/mm3, to protect the client from potential infections due to compromised immunity.
B. Hematocrit level and hemoglobin levels are indicators of red blood cell function and oxygen-carrying capacity and are not directly related to neutropenia.
C. Hemoglobin levels are an indicator of oxygen-carrying capacity and are not directly related to neutropenia.
D. Platelet count is related to clotting function and is not directly related to neutropenia.
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