When caring for a patient on Droplet Precautions, it is most important for the nurse to:

Cover the patient with a clean sheet when transporting the patient to x-ray.

Wear a gown and gloves for any contact with the patient.

Wear the appropriate respiratory device for any entry into the room.

Wear a mask if working within 3 feet of the patient.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Covering the patient with a clean sheet helps in preventing contamination during transport, but it is not the most critical action to prevent droplet transmission.

Choice B rationale

Wearing a gown and gloves is important for contact precautions, but droplet precautions specifically require protection from respiratory droplets.

Choice C rationale

Wearing the appropriate respiratory device is important in airborne precautions, but droplet precautions primarily require mask use.

Choice D rationale

Wearing a mask within 3 feet of the patient is crucial for droplet precautions to prevent the spread of respiratory droplets from the infected patient.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Fecal-smelling breath is a symptom of small intestine obstruction due to bacterial fermentation of trapped food, which produces a foul odor that can be detected on the breath.

Choice B rationale

Severe abdominal distention occurs in small intestine obstructions because of the accumulation of gas and fluids proximal to the obstruction site, leading to a noticeable increase in abdominal girth.

Choice C rationale

Weakness, weight loss, and anorexia are more characteristic of chronic gastrointestinal conditions rather than acute small intestine obstruction. These symptoms develop over a longer period and are not acute manifestations.

Choice D rationale

High-pitched tinkling bowel sounds are a typical finding in small intestine obstruction. They occur due to increased peristaltic activity proximal to the obstruction site as the intestines attempt to move the obstructed contents.

Choice E rationale

Intense thirst is not a primary manifestation of small intestine obstruction. While dehydration can occur, it is not specific to small intestine obstruction and can be a result of many other conditions.

A. Lowers it below his chin to use the next time he enters that patient's room. B. Removes the mask first before removing any other PPE. C. Discards the mask only if it is wet; otherwise, he folds and stores it to reuse the next time. D. Unties the bottom ties first, then the top, and disposes of the mask without touching it.

Correct Answer is D

Explanation

Choice A rationale

Lowering the mask below the chin for reuse is incorrect because it can cause contamination. Masks should be discarded after each use to prevent the spread of infectious agents.

Choice B rationale

Removing the mask first before other PPE is incorrect because it can lead to self-contamination. The mask should be removed after the gown and gloves, following proper PPE removal protocols.

Choice C rationale

Discarding the mask only if it is wet and otherwise folding and storing it for reuse is incorrect. Masks should not be reused once they have been worn as they may harbor infectious agents.

Choice D rationale

Untying the bottom ties first, then the top, and disposing of the mask without touching it is correct because it prevents contamination of the hands and ensures safe disposal.

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When caring for a patient on Droplet Precautions, it is most important for the nurse to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

When removing a used facemask, the nurse correctly:

Correct Answer is D

Explanation

A nurse is reinforcing teaching with an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?

A nurse teaching family members about hand hygiene in the home would emphasize:

A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection. The nurse most likely needs to use which combination of PPE?

The nurse is helping the health care provider perform a sterile procedure at the bedside. Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field. The nurse should:

Fecal matter has contaminated the patient's bed sheet. The nurse should:

A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?

A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?

An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the: