Four clients with infections arrive at the emergency department with some existing infection, however, only one private room is available. Which of the following clients is the most appropriate to assign to the private room?

A client with diarrhea after taking antibiotics for 10 days for a UTI

A client with abdominal pain and a temperature of 102.4°F (39.1°C)

A client with a productive cough that is blood tinged

A client with a wound infection and draining pus-like drainage

Answer and Explanation

The Correct Answer is C

A reason:

A client with diarrhea after taking antibiotics for 10 days for a UTI is not the most appropriate to assign to a private room. While this client may have an infection, diarrhea alone does not typically warrant isolation over other more contagious conditions.

B reason:

A client with abdominal pain and a fever may have an infection, but without more specific symptoms indicating a highly contagious disease, this client does not necessarily require a private room over others with more concerning symptoms.

C reason:

A client with a productive cough that is blood tinged is the most appropriate to assign to the private room. This client could have a highly contagious respiratory infection such as tuberculosis, which requires isolation to prevent the spread of infection to others in the hospital.

D reason:

A client with a wound infection and draining pus-like drainage needs careful management to prevent cross-contamination, but respiratory infections typically take precedence for private rooms due to their high contagion potential.

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Correct Answer is A

Explanation

A reason:

Instructing the client to tighten muscle groups for a short period and then relax is correct. Isometric exercises involve the contraction of specific muscles without moving the surrounding joints. This helps to maintain muscle strength and tone in clients on bedrest.

B reason:

Moving the client's limbs through their complete range of motion is more related to passive range of motion exercises, not isometric exercises. While important, this action does not align with the isometric exercise regimen prescribed in the plan of care.

C reason:

Asking the client to move her arms and legs while applying slight resistance involves isotonic or resistance exercises, which are different from isometric exercises. Isometric exercises focus on muscle contraction without joint movement.

D reason:

Having the client move each limb independently through its complete range of motion aligns with range of motion exercises, not isometric exercises. Isometric exercises specifically focus on muscle contraction without movement.

A. Withdraw 3 to 5 mL of urine from the port B. Insert the needle into the needleless port at a 60-degree angle C. Wipe the area of the needleless port with sterile water D. Don sterile gloves

Correct Answer is A

Explanation

A reason:

Withdrawing 3 to 5 mL of urine from the port is correct. This amount is typically sufficient for a culture and sensitivity test. It ensures that a fresh sample is obtained for accurate testing.

B reason:

Inserting the needle into the needleless port at a 60-degree angle is incorrect. Most needleless ports are designed to be accessed straight on, not at an angle, to prevent damage to the port.

C reason:

Wiping the area of the needleless port with sterile water is incorrect. The port should be cleaned with an antiseptic solution, such as alcohol, to disinfect the area and prevent contamination of the urine sample.

D reason:

Donning sterile gloves is not typically required for this procedure. Clean gloves are usually sufficient unless the protocol specifies otherwise. The priority is to ensure aseptic technique when handling the catheter and obtaining the sample.

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Four clients with infections arrive at the emergency department with some existing infection, however, only one private room is available. Which of the following clients is the most appropriate to assign to the private room?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hours. Which of the following actions should the nurse take as directed by the plan of care?

Correct Answer is A

Explanation

A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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