A nurse is placing a patient on isolation precautions. The patient’s diagnostic results at 1400 are given.
Which of the following actions should the nurse take?
Wear an N95 mask when caring for the patient.
Place a container for soiled linens inside the patient’s room.
Wear a sterile, water-resistant gown if within 3 feet of the patient.
Ensure the patient’s room is well-ventilated.
Correct Answer : A,B
Choice A rationale
When a patient is placed on isolation precautions, the nurse should wear an N95 mask when caring for the patient. This is to protect the nurse from airborne particles that may be present in the patient’s environment.
Choice B rationale
Another important action the nurse should take is to place a container for soiled linens inside the patient’s room. This is to prevent the spread of infection from the patient’s room to other areas of the healthcare facility.
Choice C rationale
Wearing a sterile, water-resistant gown if within 3 feet of the patient is not necessary unless the patient has a condition that requires contact precautions, such as MRSA or VRE. In general, isolation precautions do not require the use of a sterile gown unless performing a sterile procedure.
Choice D rationale
Ensuring the patient’s room is well-ventilated is important for certain types of isolation precautions, such as airborne precautions for tuberculosis. However, it is not a standard action for all isolation precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A cup of soup is typically 240 mL, so 2 cups would be 480 mL, which is more than 120 mL1.
Choice B rationale
A quart is a unit of volume equal to 946 mL, which is significantly more than 120 mL1.
Choice C rationale
8 oz of ice chips is approximately equivalent to 120 mL2. This is because when ice melts, it reduces in volume by about half, so 8 oz of ice chips would melt to about 4 oz of water, which is approximately 120 mL2.
Choice D rationale
6 oz is approximately 177 mL, which is more than 120 mL2.
Correct Answer is A
Explanation
Choice A rationale
Auscultating lung sounds is the priority when monitoring for adverse effects of administering IV fluids. Fluid overload can lead to pulmonary edema, which would be detected by abnormal lung sounds such as crackles.
Choice B rationale
While measuring urine output is important to assess kidney function and fluid balance, it is not the priority in this case.
Choice C rationale
Monitoring blood pressure readings is important when administering IV fluids, but it is not the priority in this case.
Choice D rationale
Monitoring electrolyte levels is important when administering IV fluids, but it is not the priority in this case.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.