A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

"I will instruct visitors to wear a mask when visiting a client who is on contact precautions."

"I will place a client who has compromised immunity in a negative-pressure airflow room."

"I will have a client who is on airborne precautions wear a mask when out of their room."

"I will wear an N95 respirator mask when caring for a client who is on droplet precautions."

Answer and Explanation

The Correct Answer is C

Rationale:
A Visitors for a client on contact precautions (e.g., MRSA, C. diff) need gloves and gown, not a mask, unless droplet or airborne precautions are also indicated.
B. A client with compromised immunity requires protective isolation in a positive-pressure airflow room, not a negative-pressure one (which is for airborne infections).
C. Clients on airborne precautions (e.g., TB, measles, varicella) must wear a surgical mask if they leave their room to prevent spreading infectious particles.
D. An N95 respirator is used for airborne precautions, not droplet. Droplet precautions (e.g., influenza, pertussis) only require a surgical mask within 3 feet of the client.

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Correct Answer is D

Explanation

Rationale:
A. A client discharged after a minor outpatient procedure typically has straightforward needs and does not require a case manager.
B. Requesting a provider’s note is a simple administrative task that does not require case management.
C. Requesting a change in pain medication involves provider communication and nursing assessment but does not necessitate a case manager.
D. A client transferring from acute care to a rehabilitation facility often has complex care needs, multiple providers, and coordination requirements, making a case manager essential to facilitate continuity of care.

A. Document assessment data. B. Review the client's new laboratory values. C. Complete required tasks. D. Determine client care goals.

Correct Answer is D

Explanation

Rationale:
A. Documenting assessment data is important but should follow planning and prioritization of care.
B. Reviewing new laboratory values is necessary for informed care but is part of the assessment and planning process, not the first step.
C. Completing required tasks without prioritization can lead to inefficient use of time and missed critical care.
D. Determining client care goals allows the nurse to prioritize tasks and plan the shift effectively, making it the first and most important step in time management.

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A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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