A nurse must transport a patient on droplet precautions for a diagnostic test. What is the appropriate action?
Ensure the patient remains at least 6 feet from others.
Transport the patient in a wheelchair with a sterile cover.
Use a non-latex wheelchair for transport.
Have the patient wear a surgical mask during transport.
The Correct Answer is D
A. Maintaining a 6-foot distance is a general droplet precaution but may not be sufficient during transport without additional protective measures.
B. Using a sterile cover on a wheelchair is unnecessary for droplet precautions; the focus is on preventing respiratory droplet spread, not contamination of surfaces.
C. Using a non-latex wheelchair addresses allergy concerns but does not prevent droplet transmission.
D. Having the patient wear a surgical mask during transport is the primary method to prevent the spread of infectious droplets to others. This aligns with droplet precautions, protecting healthcare workers and other patients from respiratory pathogens such as influenza or pertussis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A post-operative day one client requires close monitoring by licensed nursing staff due to the risk of complications; vital signs in this situation are not appropriate to delegate.
B. A client experiencing chest pain requires immediate assessment and intervention by a nurse; delegating vital signs could delay recognition of life-threatening changes.
C. A client receiving a blood transfusion needs continuous monitoring by a nurse to detect adverse reactions; vital signs should not be delegated.
D. A stable client in a long-term care facility has predictable and low-risk needs, making it appropriate to delegate vital signs to assistive personnel.
Correct Answer is C
Explanation
A. Treatment details are part of the background or ongoing care discussion, not the immediate situation.
B. Vital signs are included in the assessment component, providing objective data about the client’s current status.
C. Medical condition is the central element of the situation component. It concisely identifies the reason for the client’s admission, current problem, or urgent concern, giving the receiving nurse a clear context for prioritizing care.
D. A list of medications falls under the background information, providing context about ongoing treatments rather than the immediate situation.
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