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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Droplet precautions are used for diseases transmitted via respiratory droplets, such as influenza or pertussis.
B. Neutropenic precautions are implemented to protect clients with compromised immune systems from exposure to pathogens, typically in the environment.
C. Airborne precautions are used for diseases transmitted via small droplet nuclei that remain suspended in the air, such as tuberculosis or measles.
D. Contact precautions are appropriate for clients infected or colonized with multidrug-resistant organisms like VRE, requiring the use of gloves and gowns when providing care to prevent transmission.

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 planning care for a client who has been placed on airborne precautions. Which of the following in an appropriate nursing precaution?

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Naxlex Comprehensive Predictor Exams

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