A nurse is teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?

"Position the mask on your face with the flexible metal piece at the bottom."

"Touch the front of your mask while wearing it."

"Discard your mask after each use."

"Remove your mask prior to removing your gloves."

Answer and Explanation

The Correct Answer is C

A.   The flexible metal piece in the medical mask is designed to be shaped around the nose to provide a better fit and seal. Placing it at the bottom is not appropriate.
B.   It is important not to touch the front of the mask while wearing it, especially with potentially contaminated gloves or hands. Touching the front of the mask can transfer pathogens from the mask to the hands or vice versa, compromising infection control measures.
C.   Medical masks are designed for single use and should be discarded after each use to prevent contamination and ensure effectiveness.
D.   You should remove your gloves first before removing your mask to avoid contaminating your face with any pathogens that might be on the gloves.

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Correct Answer is B

Explanation

A. Keeping the client in a semi-Fowler's position (with the head of the bed elevated to 30-45 degrees) can help improve lung expansion and reduce the feeling of congestion. This position facilitates easier breathing but has no direct role in expectoration.
B. Adequate hydration helps to thin bronchial secretions, making them easier to cough up and clear from the airways. This is particularly beneficial for clients with COPD who often have thick, sticky mucus that is difficult to expectorate. Drinking sufficient water helps keep the mucus more liquid and less likely to block air passages.
C. Oxygen therapy is essential for clients with COPD to maintain adequate oxygen levels, but it does not directly address the issue of tenacious bronchial secretions. However, ensuring adequate oxygenation can indirectly support the client's ability to mobilize and expectorate secretions by improving overall respiratory function.
D. A low-salt diet is important for managing conditions like hypertension and heart failure, but it does not directly impact the client's ability to clear bronchial secretions in COPD. While overall health management is crucial, dietary changes do not play a direct role in managing respiratory secretions.

A. The new mutation spreads easier from one individual to another. B. The new mutation requires a larger amount of the virus to cause disease. C. The new mutation can survive in the environment and retain infectivity. D. The new mutation causes more severe disease.

Correct Answer is A

Explanation

A. Communicability refers to the ability of a pathogen, such as a virus, to spread from one person to another. If a virus undergoes a mutation that increases its communicability, it means that the virus can more readily transmit from an infected person to others. This could be due to changes in viral proteins that enhance attachment to host cells, increase viral shedding, or improve survival in the environment.
B. This statement describes the concept of the infectious dose, not communicability. Infectious dose refers to the amount of virus (or pathogen) required to establish an infection in a susceptible host. A mutation that lowers the infectious dose could potentially increase the likelihood of infection, but it does not directly relate to communicability.

C. Environmental stability refers to the ability of a virus to survive outside of a host and remain capable of causing infection. While environmental stability can contribute to the overall transmission of a virus, it does not specifically define communicability, which focuses on person-to-person spread.
D. Disease severity refers to the impact of infection on the health of an individual, ranging from mild symptoms to severe illness and potential mortality. A mutation that increases disease severity does not necessarily affect communicability unless severe disease leads to behaviors that enhance transmission (e.g., increased shedding of virus).

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A nurse is caring for a 20-year-old client who has a fever and reports severe headache.

Exhibits

A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

View Question and Answer

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A nurse is teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?

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Correct Answer is B

Explanation

A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?

Correct Answer is A

Explanation

A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

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A nurse is changing the bed linen for a client who is on contact precautions. Which of the following personal protective equipment should the nurse wear?

A nurse enters a client's room and finds the client on the floor. After the nurse has ensured the client's safety, which of the following actions should the nurse take?

A nurse is caring for a 20-year-old client who has a fever and reports severe headache. Exhibits A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.