The nurse assigns an unlicensed assistive personnel (UAP) to a client who has been placed on droplet precautions for a respiratory infection. The UAP requests a change in assignment, stating she has not yet been fitted for a particulate filter mask. Which action should the nurse take?

Before changing assignments, determine which staff members have fitted particulate filter masks.

Instruct the UAP that a standard face mask is sufficient to be able to provide care for the assigned client.

Advise the UAP to wear a standard face mask to obtain vital signs, and then get fitted for a filter mask before providing personal care.

Send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this client.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Before changing assignments, determine which staff members have fitted particulate filter masks: This option suggests rearranging assignments based on respirator fit, but a particulate filter mask (like an N95) is not required for droplet precautions. The focus should be on educating the UAP rather than altering assignments unnecessarily.

B. Instruct the UAP that a standard face mask is sufficient to be able to provide care for the assigned client: Droplet precautions require a standard surgical mask, not a particulate filter mask. The nurse should clarify this with the UAP to ensure proper precautions are followed without unnecessary changes or delays in care.

C. Advise the UAP to wear a standard face mask to obtain vital signs, and then get fitted for a filter mask before providing personal care: This adds unnecessary steps. For droplet precautions, a surgical mask is sufficient for all aspects of client care. There's no need to delay care or obtain a filter mask fitting.

D. Send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this client: This is not necessary for droplet precautions, as it reflects confusion with airborne precautions (e.g., for tuberculosis). The nurse should correct the misunderstanding rather than escalate it.

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Correct Answer is C

Explanation

Rationale:

A. Immunosuppressive therapy:This is a common treatment for aplastic anemia when a matched donor is unavailable, especially in older children and adults. However, it is less curative and carries a higher risk of relapse compared to bone marrow transplantation.

B. Chemotherapy: Chemotherapy is not the primary treatment for aplastic anemia. It is mainly used in malignancies. In some cases, chemotherapy may precede transplantation or be part of immunosuppressive therapy, but it is not curative alone.

C. Bone marrow transplantation: This is the treatment of choice and offers the best prognosis, particularly in children with a matched sibling donor. It provides a potential cure by replacing the defective marrow with healthy stem cells.

D. Blood transfusions: Transfusions manage symptoms and prevent complications like anemia or bleeding but do not treat the underlying cause. Long-term use increases the risk of iron overload and alloimmunization.

A. Currently prescribed medications. B. Client's healthcare power of attorney. C. Increasing confusion of the client. D. Fall at home as reason for admission.

Correct Answer is C

Explanation

Rationale:

A. Currently prescribed medications: Medication history is important and may explain the confusion or fall, but it belongs in the Background section of SBAR. It is not the first or most urgent piece of information during provider communication.

B. Client's healthcare power of attorney: The presence of a power of attorney is relevant if decisions need to be made, especially if the client is confused. However, it does not take precedence when communicating the current clinical concern.

C. Increasing confusion of the client: This represents the Situation—the urgent issue prompting the call. Notifying the provider about a change in mental status is critical for rapid evaluation and decision-making, and should be stated first in SBAR communication.

D. Fall at home as reason for admission: The fall is part of the Background section and supports the context of the admission. However, it does not represent the immediate issue requiring provider action, which is the client’s new or worsening confusion.

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The nurse assigns an unlicensed assistive personnel (UAP) to a client who has been placed on droplet precautions for a respiratory infection. The UAP requests a change in assignment, stating she has not yet been fitted for a particulate filter mask. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child is diagnosed with acquired aplastic anemia. The nurse knows that this child has the best prognosis with which treatment regimen?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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