A nurse is planning care for a client who has been placed on airborne precautions. Which of the following in an appropriate nursing precaution?
Allow the client to ambulate in the hall
Apply a N95 mask prior to entering the room
Stand 6 feet away from the client
Provide a positive air pressure room
The Correct Answer is B
A. Allowing the client to ambulate in the hall would not be an appropriate precaution for airborne precautions.
B. This is an appropriate precaution to prevent the nurse from inhaling airborne pathogens.
C. While maintaining distance may help reduce the risk of transmission, wearing appropriate personal protective equipment is essential.
D. Providing a positive air pressure room is not typically a nursing precaution but rather a facility consideration for isolation rooms.
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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 A
Explanation
A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.
B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.
C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.
D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.
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