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 C

Explanation

A reason:

Determining the time the client last received pain medication is important, but it should be done after assessing the current pain level. The nurse needs to know the severity of the pain to decide the next steps.

B reason:

Measuring the client's vital signs, including temperature, is also important, especially to rule out complications like infection. However, addressing the client's immediate pain should take priority to provide relief and then proceed with further assessments.

C reason:

Asking the client to rate her pain on a scale from 0 to 10 is correct. This provides a clear understanding of the pain's intensity, which is essential for determining the appropriate intervention. It allows the nurse to gauge the severity of the pain and respond accordingly.

D reason:

Repositioning the client and offering a back rub can help alleviate discomfort, but these actions should follow the pain assessment to ensure the interventions are appropriate based on the pain's severity and nature.

A. It is acceptable to use alcohol-based hand products after most client contact. B. I should wash my hands before I provide client care. C. I will not wear artificial nails when providing client care. D. As long as I change gloves between clients, it is not necessary to wash my hands.

Correct Answer is D

Explanation

A reason:

Using alcohol-based hand products after most client contact is acceptable and effective in maintaining hand hygiene, particularly when soap and water are not readily available.

B reason:

Washing hands before providing client care is a fundamental practice in infection control and is essential to prevent the spread of pathogens.

C reason:

Not wearing artificial nails when providing client care is important for infection control. Artificial nails can harbor bacteria and other pathogens, increasing the risk of transmitting infections.

D reason:

Changing gloves between clients without washing hands is incorrect and indicates a need for further teaching. Hand hygiene is necessary even when gloves are used to prevent cross-contamination. Gloves are not a substitute for proper hand washing.

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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

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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