The practical nurse (PN) is caring for a client with influenza. Which action should the PN implement to prevent the spread of influenza?
Wear a surgical mask during all client contact.
Use an isolation gown when providing client care.
Determine if the client's room has negative airflow.
Place a mask on the client if the client leaves the room.
The Correct Answer is D
A. Wear a surgical mask during all client contact: While wearing a surgical mask protects the nurse from inhaling respiratory droplets, it is equally important to prevent the client from spreading droplets to others, especially when moving outside the room.
B. Use an isolation gown when providing client care: An isolation gown protects against contact transmission rather than droplet transmission. Influenza spreads primarily through respiratory droplets, so gowns are not the primary measure to prevent its spread.
C. Determine if the client's room has negative airflow: Negative airflow rooms are necessary for airborne infections like tuberculosis, not for droplet-spread infections such as influenza. Standard precautions for influenza focus more on masking and hygiene practices.
D. Place a mask on the client if the client leaves the room: Masking the client when outside their room helps contain respiratory droplets, minimizing the risk of infecting others. This intervention is crucial in controlling the spread of influenza within healthcare settings.
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Related Questions
Correct Answer is C
Explanation
A. Maintain sterile technique during specimen collection: Sterile technique is required for urine cultures, not for 24-hour urine collections. For a timed urine collection, clean collection techniques are sufficient to accurately measure excretion over a full day.
B. Assist the client to cleanse the perineal area prior to voiding: While perineal hygiene is important, it is not the primary step when starting a 24-hour urine collection. The critical action is ensuring that the first void is discarded to properly begin timing the collection period.
C. Instruct the client to discard the first voided specimen: The first void is discarded to ensure the collection accurately measures substances excreted during the full 24-hour period. Timing officially starts after discarding the initial urine, and every subsequent void must be collected.
D. Insert an indwelling urinary catheter: Inserting an indwelling catheter is unnecessary unless the client is unable to void independently. Most 24-hour urine collections are performed using normal voiding and collection into a clean container.
Correct Answer is A
Explanation
A. Check the medical record to verify the medication's name and strength: The first action is to verify the medication against the medical record to ensure it is the correct drug, dose, and formulation. This prioritizes patient safety by confirming accuracy before administration, preventing possible medication errors.
B. Reassure the client that the blue tablet is the correct medication: Reassuring the client without verifying the medication could risk administering the wrong drug. Even if the nurse believes the medication is correct, professional standards require verification when a discrepancy is noted by the patient.
C. Explain that the tablets are from different manufacturers: Differences in tablet appearance between manufacturers are common, but assuming this without verifying could result in a serious medication error. Visual differences should always be validated against the order and pharmacy records first.
D. Withhold the medication and notify the healthcare provider: Withholding the medication and notifying the healthcare provider may be appropriate if verification reveals a problem. However, the first step is to check the medical record to determine if the medication given matches the prescribed drug and dose.
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