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 B

Explanation

A. Contact transmission involves direct or indirect contact with infected individuals or contaminated surfaces.
B. Lyme disease is transmitted to humans through the bite of infected ticks, making it a vectorborne disease.
C. Vehicle transmission involves non-living carriers, such as food, water, or inanimate objects, transmitting the infectious agent.
D. Droplet transmission involves respiratory droplets expelled by an infected individual during coughing, sneezing, or talking. Lyme disease is not transmitted through respiratory secretions.

A. Place the client on Contact Precautions. B. Apply cold compress on her left upper arm. C. Elevate the client's arm on a pillow. D. Take a wound culture every shift to determine if the infection is improving. E. Have RN initiate IV access for the client to receive fluids and antibiotic therapy. F. Administer subcutaneous sodium heparin every 12 hours.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

A. Placing the client on Contact Precautions is appropriate to prevent the transmission of MRSA to other patients and healthcare workers.
B. Applying a cold compress may worsen tissue damage and compromise blood flow, which can exacerbate the wound infection and cellulitis.
C. Elevating the client's arm can help reduce swelling and improve circulation, aiding in the resolution of cellulitis.
D. Taking a wound culture every shift is not necessary or useful, as it can be painful for the client and does not provide timely information on the infection status. A wound culture is usually done once before starting antibiotic therapy and then repeated only if there is no improvement or signs of worsening.
E. Initiating IV access for fluid and antibiotic therapy is necessary for treating the systemic infection caused by MRSA and cellulitis.
F. Subcutaneous sodium heparin is an anticoagulant that prevents blood clots, but it is not indicated for this client unless they have a history or risk of thromboembolic events, such as deep vein thrombosis or pulmonary embolism.

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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

A client who reports they are an avid outdoorsman and enjoys hiking, camping, and backpacking, has been admitted for Lyme's Disease. Lyme's Disease is spread by a tick. What is the mode of transmission?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

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