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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 A

Explanation

A reason:

Having the client wear a mask is correct. This helps to contain respiratory droplets and prevent the spread of tuberculosis during transport.

B reason:

Notifying the x-ray department about the need for airborne precautions is important but not the primary precaution for transporting the client.

C reason:

Wearing a filtration mask and gloves by the nurse during transport is protective for the nurse but does not prevent the client from spreading the infection during transport.

D reason:

Asking the x-ray technician to come to the client's room for a portable x-ray can be considered but is not always practical. The primary focus is ensuring the client wears a mask during transport to minimize infection risk to others.

A. Patients with droplet diseases such as measles require an N95 mask. B. I will always wash my hands with soap and water, not hand sanitizer, if I provide care to patients with C. diff, norovirus, and rotavirus infections. C. I will make sure that any patient who is in droplet precaution wears a surgical mask when being transported. D. I will always wear a gown and gloves when entering a room of a patient in contact precautions.

Correct Answer is A

Explanation

A reason:

Patients with droplet diseases such as measles require re-education. Measles is an airborne disease, not droplet, and requires airborne precautions, including an N95 mask.

B reason:

Washing hands with soap and water, not hand sanitizer, for C. diff, norovirus, and rotavirus is correct. These infections require thorough hand washing to remove spores effectively.

C reason:

Ensuring patients in droplet precaution wear a surgical mask when being transported is correct. This helps to prevent the spread of infectious droplets.

D reason:

Wearing a gown and gloves when entering a room of a patient in contact precautions is correct. This prevents the spread of infections through direct and indirect contact.

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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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