A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?

Don protective eyewear before entering the room.

Wear a mask when working within 3 feet of the client.

Place the client in a negative airflow room.

Administer metronidazole.

Answer and Explanation

The Correct Answer is B

A.   Protective eyewear is not necessary unless there is a risk of splashing or spraying of bodily fluids.
B.   Wearing a mask when working within 3 feet of the client helps prevent the spread of respiratory droplets, which is the primary mode of transmission for influenza.
C.   Placing the client in a negative airflow room is not typically indicated for influenza and may not be feasible in all healthcare settings.
D.   Metronidazole is an antibiotic used to treat certain bacterial and protozoal infections but is not specifically indicated for preventing the spread of influenza.

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Correct Answer is C

Explanation

A. Using a straw can increase the risk of aspiration for a client with dysphagia.
B. Dysphagia clients should receive medications with meals or snacks to help with swallowing and reduce the risk of aspiration.
C. Administering medications one at a time allows the nurse to closely monitor the client's swallowing ability and reduces the risk of choking or aspiration.
D. Semi-Fowler's position may not significantly improve swallowing for a client with dysphagia and is not specifically related to medication administration.

A. Side-lying with the right side of the chest elevated B. Supine in low-Fowler's position C. Prone with pillows under the lower extremities D. Right lateral in Trendelenburg position

Correct Answer is D

Explanation

A. This position does not optimize drainage of the left lower lobe. The affected lung should be positioned higher so that secretions can drain downward with gravity.

B. Supine position is not optimal for postural drainage of the lower lobes.

C. Prone position is typically used for postural drainage of the upper lobes, not the lower lobes.
D. For postural drainage of the left lower-lobe atelectasis, the client should be positioned right lateral in Trendelenburg position (head lower than feet). This positioning uses gravity to facilitate drainage of secretions from the affected lung segment, allowing them to move into larger airways where they can be coughed out or suctioned.

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A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?

Correct Answer is D

Explanation

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