A nurse is completing an admission assessment for a client who has bacterial meningitis. Which of the following personal protective equipment should the nurse use while caring for the client?

N95 respirator

Goggles

Disposable gown

Surgical mask

Answer and Explanation

The Correct Answer is D

Rationale:
A. N95 respirator: N95 respirators are required for airborne precautions, such as with tuberculosis, measles, or varicella. Bacterial meningitis, caused by organisms like Neisseria meningitidis, requires droplet precautions, which do not necessitate an N95 mask.

B. Goggles: Goggles are used for protection against splashes or sprays of bodily fluids, particularly in procedures that may cause aerosolization. While helpful in certain situations, goggles are not required as part of standard droplet precautions for meningitis.

C. Disposable gown: Gowns are worn during contact precautions or when there is a risk of contamination from bodily fluids. They are not routinely required for droplet precautions unless the nurse anticipates contact with large amounts of secretions.

D. Surgical mask: A surgical mask is the appropriate PPE for droplet precautions, which are necessary for clients with bacterial meningitis. The mask prevents the spread of infectious respiratory droplets that can travel up to 3 feet during coughing or sneezing.

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Correct Answer is D

Explanation

Rationale:
A. Contact precautions: Contact precautions are used for infections spread by direct or indirect contact, such as Clostridioides difficile or MRSA. Tuberculosis is transmitted through airborne particles, not contact.

B. Protective environment precautions: Protective environments are for immunocompromised clients, such as those undergoing stem cell transplants, to protect them from external infections. This does not apply to clients with active infections like tuberculosis.

C. Droplet precautions: Droplet precautions are used for infections spread through large respiratory droplets, like influenza or pertussis. Tuberculosis is spread via much smaller airborne particles that remain suspended in the air.

D. Airborne precautions: Airborne precautions are required for tuberculosis because it is spread through tiny airborne droplets. These precautions include placing the client in a negative pressure room and having staff wear an N95 respirator when entering the room.

A. Place the swab in the culture container. B. Ensure the container is labeled with the date and time of collection. C. Apply clean gloves. D. Swab the wound in a zig-zag manner.

Correct Answer is C,D,A,B

Explanation

Rationale:

Apply clean gloves: Wearing clean gloves is the first step to maintain standard precautions and prevent contamination during specimen collection.
Swab the wound in a zig-zag manner: This technique ensures that the swab collects cells and fluid from multiple areas of the wound, increasing the likelihood of detecting any microorganisms present.
Place the swab in the culture container: Immediately inserting the swab into the sterile container maintains the integrity of the specimen and prevents contamination.
Ensure the container is labeled with the date and time of collection: Labeling the specimen is critical for accurate identification and processing by the lab. It must be done after collection to ensure the label reflects the correct time and date.

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A nurse is completing an admission assessment for a client who has bacterial meningitis. Which of the following personal protective equipment should the nurse use while caring for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has tuberculosis. Which of the following precautions should the nurse implement for this client?

Correct Answer is D

Explanation

80. A nurse is preparing to obtain a wound drainage specimen for culture from a client who has a nonhealing burn injury. In what order should the nurse collect this specimen? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is C,D,A,B

Explanation

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