A nurse manager is evaluating the clients on the unit who are assigned isolation precautions. Which of the following client assignments should the nurse manager identify as correct?
Protective precautions for a client who has neutropenia.
Airborne precautions for a client who has respiratory failure.
Droplet precautions for a client who has COPD.
Contact isolation for a client who has empyema.
The Correct Answer is A
Rationale:
A. A client with neutropenia (low neutrophil count) has a weakened immune system and requires protective precautions to prevent infection exposure.
B. A client with respiratory failure does not require airborne precautions unless caused by a specific infection like TB or measles.
C. COPD is a chronic condition and not an infectious disease requiring droplet precautions.
D. Empyema (collection of pus in the pleural cavity) is usually a complication of infection but does not require contact isolation unless caused by a specific contagious pathogen.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Home health provides ongoing nursing care and monitoring in the home but does not typically arrange for durable medical equipment like a wheelchair.
B. Social services coordinate community resources, including arranging for durable medical equipment such as a wheelchair, making this the correct referral.
C. Physical therapy focuses on improving strength, mobility, and teaching the client how to safely transfer and use mobility aids but does not arrange for equipment procurement.
D. Occupational therapy helps the client adapt to activities of daily living (ADLs) and may train the client in wheelchair use but does not arrange for obtaining the wheelchair itself.
Correct Answer is D
Explanation
Rationale:
A. A living will provides instructions for end-of-life care but does not authorize emergency surgical procedures.
B. The Good Samaritan Act protects healthcare providers who give emergency care outside a healthcare setting, not in-hospital surgical consent.
C. Joint liability refers to shared legal responsibility and is not related to consent for treatment.
D. Implied consent allows healthcare providers to perform emergency procedures when a client is unconscious or unable to give consent, and no legal representative is available, making it the correct legal guideline in this scenario.
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