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 D

Explanation

D. Demonstrates empathy and validation of the client's feelings. It acknowledges the client's concerns and opens the door for further discussion about their worries and fears regarding the future. By actively listening and addressing the client's concerns, the nurse can help establish trust and rapport, which are essential for effective therapeutic communication.
A. May inadvertently minimize or invalidate the client's feelings by suggesting that their concerns are unwarranted or irrational. This response does not address the client's concerns and may hinder open communication.
B. This dismisses the client's concerns and may make them feel guilty or ashamed for worrying about their future. This response does not acknowledge the client's emotions and fails to provide support or reassurance.
C. Focuses solely on the physical aspect of the client's recovery and does not address their emotional concerns about the future. While encouragement to participate in physical therapy is important, it should be accompanied by acknowledgment and validation of the client's emotional needs.

A. "Have you thought about harming yourself?" B. "Tell me more about your partner." C. "You should discuss these feelings with your provider." D. "Why did you stop taking your medication?"

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.

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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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Explanation

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