A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?
Wear an N95 respirator when providing direct client care.
Make sure the client's room has positive-pressure airflow.
Make sure dietary plates and utensils are disposable.
Monitor the client's temperature once every 6 hr.
The Correct Answer is B
A. While wearing an N95 respirator may be necessary for certain infections, it is not a routine precaution for clients in protective isolation.
B. Ensuring the client's room has positive-pressure airflow helps prevent the entry of airborne pathogens into the room, reducing the risk of infection for the immunocompromised client.
C. Using disposable plates and utensils helps reduce the risk of cross-contamination and infection transmission but is not directly related to airborne infection control.
D. Monitoring the client's temperature is important for assessing for signs of infection, but it does not directly prevent infection transmission in the same way as positive-pressure airflow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Antithrombotic therapy, such as antiplatelet agents or anticoagulants, is essential for preventing future strokes by reducing blood clot formation.
B. Opioid analgesics are not typically prescribed for ischemic stroke management; they are more relevant for pain control.
C. Anticonvulsants are used for seizure disorders, which are not a primary concern following ischemic stroke unless the client has a history of seizures.
D. Diuretics may be used for managing hypertension or fluid overload but are not specifically indicated for ischemic stroke prevention.
Correct Answer is B
Explanation
A. While wearing an N95 respirator may be necessary for certain infections, it is not a routine precaution for clients in protective isolation.
B. Ensuring the client's room has positive-pressure airflow helps prevent the entry of airborne pathogens into the room, reducing the risk of infection for the immunocompromised client.
C. Using disposable plates and utensils helps reduce the risk of cross-contamination and infection transmission but is not directly related to airborne infection control.
D. Monitoring the client's temperature is important for assessing for signs of infection, but it does not directly prevent infection transmission in the same way as positive-pressure airflow.
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