A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include?
Use sterile gloves when handling soiled linens
Place a surgical mask on the client if transportation to another department is needed
Wear a gown when providing all client cares
Wear a mask when providing care within 10 ft of the client
The Correct Answer is D
A. While standard precautions should be followed, the use of sterile gloves for routine care related to pertussis is not necessary.
B. Placing a surgical mask on the client during transportation may help prevent the spread of respiratory droplets but is not a comprehensive infection control measure.
C. Wearing a gown for all client cares is unnecessary and may not be practical.
D. Wearing a mask when providing care within 10 feet of the client helps reduce the risk of droplet transmission of pertussis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Whole wheat pasta is not typically high in purines.
B. Broccoli is a vegetable and generally not high in purines.
C. Shellfish, such as shrimp, crab, and lobster, are high in purines and should be avoided by individuals with gout.
D. Cranberries are fruits and are generally low in purines.
Correct Answer is ["C","D","F","G"]
Explanation
A. The absence of pain does not necessarily indicate the absence of infection.
B. An oral temperature of 98.9 degrees F is within the normal range and does not indicate infection.
C. Decreased level of consciousness can be a sign of systemic infection, especially if accompanied by other symptoms.
D. An elevated white blood cell count (WBC) is indicative of an inflammatory response, which can occur in infection.
E. A scab forming on the incision line is a normal part of wound healing and does not necessarily indicate infection.
F. Crackles in bilateral lung bases may indicate a possible infection.
G. Redness and warmth at the incision site are signs of inflammation and can indicate infection.
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