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?

Administer metronidazole.

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.

Answer and Explanation

The Correct Answer is C

C. Wearing a mask when working within close proximity to the client helps prevent the transmission of respiratory droplets containing the influenza virus. This is especially important when providing direct care to the client, such as during assessments or procedures.
A. Metronidazole is an antibiotic used to treat bacterial infections, not viral infections like influenza. Administering metronidazole would not prevent the spread of influenza.
B. Protective eyewear is typically used to prevent exposure to bloodborne pathogens or other bodily fluids that could splash into the eyes. In the case of influenza, the primary mode of transmission is through respiratory droplets, so protective eyewear is not necessary for preventing its spread.
D. Negative airflow rooms are typically used for clients with airborne infections, such as tuberculosis, where there is a risk of droplet nuclei remaining suspended in the air for prolonged periods. Influenza is primarily spread through respiratory droplets and does not require negative airflow isolation.

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Correct Answer is A

Explanation

A. This is a direct and important question to assess the client's immediate risk of self-harm or suicide. It is appropriate because it helps to determine the level of risk and the need for immediate intervention.

Asking about suicidal thoughts can also open up a conversation about the client’s feelings and
experiences.
B. This response shows empathy and encourages the client to share more about their loss, which can be therapeutic. However, it does not directly address the immediate concern of the client's suicidal statement. While understanding the client's grief is important, the nurse first needs to assess the client's current safety.
C. This response might come off as dismissive, implying that the nurse is not willing or able to help the client at that moment. It deflects the client's immediate distress and need for support, which could make the client feel more isolated.
D. While understanding why the client stopped their medication is important, this question does not address the client's current suicidal ideation and distress. The focus should initially be on assessing the risk and providing immediate support before delving into medication adherence.

A. Remove the client's dentures for their family to keep. B. Turn overhead lights to a bright setting. C. Leave the client's eyes open until the family views the body. D. Ask the family if they wish to assist in washing the client's body.

Correct Answer is D

Explanation

D. This is a culturally sensitive and considerate option. Some families or cultural practices involve family members in the postmortem care process, including washing the body. Offering this option can provide comfort and a sense of closure to the family.
A. Dentures should generally be left in place to maintain the natural shape of the face. Removing them can cause the face to appear sunken. It is also not a common practice to give dentures to the family as a keepsake. Proper postmortem care involves keeping the dentures in to maintain the deceased's appearance.
B. Bright lighting can be harsh and might not be conducive to the family's grieving process. Soft, dim lighting is generally more appropriate in these situations as it creates a calming and respectful environment.
C. It is standard practice to close the eyes of the deceased during postmortem care. Leaving the eyes open can be distressing for the family. The nurse should gently close the client's eyes and ensure they remain closed, as this helps to present a peaceful appearance.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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