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.
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Related Questions
Correct Answer is C
Explanation
A. Removing the mask just inside the door is a proper procedure to avoid potential contamination of the outer surface of the mask.
B. Washing hands and donning a face mask before entering the room is appropriate to prevent the transmission of droplets.
C. Even if the spouse stays a foot away from the client, wearing a mask is essential for droplet precautions as respiratory droplets can travel short distances.
D. This statement accurately describes how the disease is transmitted through respiratory droplets.
Correct Answer is D
Explanation
A. Normal joint wear and tear typically do not result in bony enlargements, deviation of fingers, or hard, painless joints.
B. Osteomyelitis is a bone infection and would present with symptoms such as fever, localized pain, swelling, and redness over the affected bone, rather than bony enlargements of the joints.
C. Uric acid deposits are associated with conditions like gout and would typically manifest as acute attacks of severe pain, redness, and swelling in the affected joint, rather than the chronic, painless joint deformities seen in the scenario described.
D. Rheumatoid Arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of the synovium, leading to joint deformities, bony enlargements, and deviation of fingers. Joints affected by RA are typically hard, painless, and may exhibit ulnar deviation.

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