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","E","F","G"]

Explanation

D. Since the client is being discharged with home oxygen therapy, it's essential for the caregiver to know how to adjust the oxygen flow rate to maintain adequate oxygenation for the client's comfort and respiratory needs.
E. Prednisone, a steroid medication, is often prescribed to be taken in the morning to minimize the risk of insomnia or sleep disturbances associated with its use. Therefore, the nurse should emphasize this timing to optimize the therapeutic effects and minimize potential side effects.
F. Prednisone is typically prescribed in a tapering regimen, where the dose decreases gradually over time to prevent withdrawal symptoms and adrenal insufficiency. Therefore, it's crucial for the nurse to inform the client and caregiver about the tapering schedule to ensure adherence to the treatment plan.
G. It's important to keep the oxygen delivery system, including the oxygen tank and nasal cannula, away from any heat source to reduce the risk of fire hazards. Therefore, the nurse should educate the client

and caregiver about maintaining a safe distance from heat sources to prevent accidents and ensure their safety.
A. Some antibiotics can be taken with or without food, specific instructions are given for Cephalexin, which should generally be taken with food to minimize gastrointestinal side effects. Therefore, it's important for the nurse to provide this information to the client and caregiver.
B. It's essential for the caregiver to know where the oxygen cylinder wrench is stored for emergency purposes but it's not advisable to store it directly with the oxygen tank. Storing it separately ensures that it is readily accessible without causing any potential harm to the tank's integrity or creating a safety hazard.
C. The prescription for Cephalexin is to be taken every 6 hours for 5 days, not for 10 days. Therefore, it's crucial for the nurse to clarify the correct duration of antibiotic therapy to prevent misunderstanding and ensure appropriate adherence to the treatment plan.

A. Ensure the client's heels are not touching the mattress. B. Reposition the client every 4 hr. C. Raise the head of the client's bed to a 60° angle. D. Massage the client's bony prominences.

Correct Answer is A

Explanation

A. Keeping the client's heels off the mattress helps prevent pressure injuries, particularly heel ulcers, which are common in clients who are immobile or on bed rest. Pressure on the heels can impede blood flow and lead to tissue damage, especially if the client remains in the same position for an extended period.
B.Repositioning the client is also important for preventing pressure injuries, as it helps redistribute pressure and relieve pressure on vulnerable areas of the body. However, it should be done more frequently.
C. Raising the head of the client's bed to a 60° angle is not directly related to preventing pressure injuries. While elevating the head of the bed may provide comfort and facilitate breathing for some clients, it does not address pressure distribution or protection of bony prominences.
D. Massaging the client's bony prominences is contraindicated for preventing pressure injuries. Massaging bony prominences can increase friction and shear forces on the skin, which may actually exacerbate the risk of pressure injury development.

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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 pneumonia. Exhibits

Correct Answer is ["D","E","F","G"]

Explanation

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Correct Answer is A

Explanation

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