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

Answer and Explanation

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.

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

Explanation

A. Encouraging the client to cough and deep breathe helps to maintain clear airways and prevent respiratory infections.
B. Turning the client every 2 hours is important for preventing pressure ulcers and maintaining skin integrity.
C. Keeping the skin clean and dry helps to prevent skin breakdown and infections, serving as a barrier against pathogens.
D. Applying lotion to clean skin may keep the skin moisturized hence preventing skin breakdown.

E. Urinary incontinence is associated with skin breakdown hence the development of bedsores. Therefore, assisting the client with voiding is important for maintaining urinary function and skin integrity.

A. Urine characteristics B. Homan's sign C. Lung sounds D. Frequency of diarrhea episodes

Correct Answer is C

Explanation

A. While monitoring urine characteristics is important for overall assessment, it may not be the priority in this situation.
B. Homan's sign is used to assess for deep vein thrombosis and may not be directly related to the client's current symptoms.
C. Elevated temperature after knee replacement surgery could indicate a potential infection, including pneumonia, so assessing lung sounds for signs of infection is a priority.

D. Diarrhea may be indicative of gastrointestinal issues but is less likely to be directly related to the client's current symptoms after knee replacement surgery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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