You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?
Droplet precautions
Contact precautions
Standard precautions are only necessary as there is no risk of transmission.
Airborne precautions
The Correct Answer is B
Choice A reason (precautions): Droplet precautions are not the primary recommendation for Hepatitis A, as it is not primarily spread through droplets.
Choice B reason (precautions): Contact precautions are recommended for patients with Hepatitis A due to the risk of fecal-oral transmission, especially in a patient with incontinence.
Choice C reason (precautions): While standard precautions are always necessary, they are not sufficient alone for Hepatitis A, which requires additional precautions due to its mode of transmission.
Choice D reason (precautions): Airborne precautions are not required for Hepatitis A, as it is not spread through the air.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.
Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.
Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.
Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.
Correct Answer is D
Explanation
Choice A reason: Avoiding tanning booths is correct and does not indicate a need for further teaching.
Choice B reason: Using sunscreen even on cloudy days is correct and does not indicate a need for further teaching.
Choice C reason: Checking the skin monthly for any changes is correct and does not indicate a need for further teaching.
Choice D reason: The statement about eating a high-fiber diet reducing the risk for developing skin cancer indicates a misunderstanding, as there is no direct correlation between a high-fiber diet and the prevention of skin cancer. This indicates a need for further teaching.
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