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A nurse is caring for an immunocompromised client on chemotherapy. The family would like to visit. What teaching should the nurse provide to the family regarding protective isolation?

Visitors may bring a fruit basket to increase client's nutrition.

Visitors should be taught to refrain from bringing flowers.

A sick family member can visit as long as they wear a surgical mask.

All visitors must complete hand washing and wear an N95 mask.

Answer and Explanation

The Correct Answer is B

A reason:

Visitors may bring a fruit basket is incorrect. Fresh fruit can carry bacteria and should be avoided.

B reason:

Refraining from bringing flowers is correct. Flowers can carry bacteria and fungi, posing a risk to immunocompromised clients.

C reason:

A sick family member visiting, even with a mask, is incorrect. Sick visitors should avoid contact with immunocompromised clients to prevent infection.

D reason:

All visitors must complete hand washing, but wearing an N95 mask is not necessary unless specifically required. Standard masks are typically sufficient.

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Correct Answer is C

Explanation

A reason:

Airborne precautions are not required for VRE. These precautions are used for infections transmitted through the air, such as tuberculosis, which is not the case with VRE.

B reason:

Protective precautions (also known as neutropenic or reverse precautions) are used to protect immunocompromised patients from infections. They are not appropriate for preventing the spread of VRE.

C reason:

Contact precautions are correct. VRE is typically transmitted through direct or indirect contact with contaminated surfaces or infected body fluids. Contact precautions help prevent the spread of VRE to other patients and healthcare workers.

D reason:

Droplet precautions are used for infections transmitted through respiratory droplets, such as influenza. VRE is not transmitted in this manner, so droplet precautions are not necessary.

A. Shave the client's hair in the direction of the hair growth B. Wash the client's extremities from proximal to distal C. Check for personal items when changing the bed linens D. Keep the bath water temperature between 43.3°C (110°F) and 46.1°C (115°F) E. Place a clean gown on the strongest arm first

Correct Answer is ["A","C","D"]

Explanation

A reason:

Shaving the client's hair in the direction of hair growth is correct. This technique helps to reduce the risk of skin irritation and cuts.

B reason:

Washing the client's extremities from proximal to distal is incorrect. The correct technique is to wash from distal to proximal to promote circulation and prevent the spread of contamination.

C reason:

Checking for personal items when changing the bed linens is correct. This prevents accidental loss or damage to the client's belongings and ensures a thorough and respectful care process.

D reason:

Keeping the bath water temperature between 43.3°C (110°F) and 46.1°C (115°F) is correct. This range is warm enough to be comfortable and effective for cleaning without risking burns or discomfort.

E reason:

Placing a clean gown on the strongest arm first is incorrect. The gown should be placed on the weakest arm first to reduce the difficulty and discomfort during the dressing process.

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A nurse is caring for an immunocompromised client on chemotherapy. The family would like to visit. What teaching should the nurse provide to the family regarding protective isolation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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