You're providing an in-service on transmission-based precautions to a group of nursing students. Which statement made by a student warrants re-education about the topic?

Patients with droplet diseases such as measles require an N95 mask.

I will always wash my hands with soap and water, not hand sanitizer, if I provide care to patients with C. diff, norovirus, and rotavirus infections.

I will make sure that any patient who is in droplet precaution wears a surgical mask when being transported.

I will always wear a gown and gloves when entering a room of a patient in contact precautions.

Answer and Explanation

The Correct Answer is A

A reason:

Patients with droplet diseases such as measles require re-education. Measles is an airborne disease, not droplet, and requires airborne precautions, including an N95 mask.

B reason:

Washing hands with soap and water, not hand sanitizer, for C. diff, norovirus, and rotavirus is correct. These infections require thorough hand washing to remove spores effectively.

C reason:

Ensuring patients in droplet precaution wear a surgical mask when being transported is correct. This helps to prevent the spread of infectious droplets.

D reason:

Wearing a gown and gloves when entering a room of a patient in contact precautions is correct. This prevents the spread of infections through direct and indirect contact.

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Correct Answer is C

Explanation

A reason:

The evaluation phase involves assessing the effectiveness of the interventions and care plan, rather than gathering initial information about potential allergies. Asking about allergies comes earlier in the process.

B reason:

The planning phase focuses on setting goals and determining interventions based on the assessment data. While allergies are considered during planning, the initial gathering of allergy information occurs earlier.

C reason:

The assessment phase is correct. This is when the nurse collects comprehensive data about the client’s health status, including potential allergies. Gathering this information during assessment helps to prevent adverse reactions and plan safe care.

D reason:

The implementation phase involves carrying out the interventions outlined in the care plan. By this stage, any allergies should already be identified and documented to ensure safe execution of the care plan.

A. Have the client wear a mask. B. Notify the x-ray department that the client requires airborne precautions. C. Wear a filtration mask and gloves during transport. D. Ask the x-ray technician to come to the client's room to obtain a portable x-ray.

Correct Answer is A

Explanation

A reason:

Having the client wear a mask is correct. This helps to contain respiratory droplets and prevent the spread of tuberculosis during transport.

B reason:

Notifying the x-ray department about the need for airborne precautions is important but not the primary precaution for transporting the client.

C reason:

Wearing a filtration mask and gloves by the nurse during transport is protective for the nurse but does not prevent the client from spreading the infection during transport.

D reason:

Asking the x-ray technician to come to the client's room for a portable x-ray can be considered but is not always practical. The primary focus is ensuring the client wears a mask during transport to minimize infection risk to others.

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You're providing an in-service on transmission-based precautions to a group of nursing students. Which statement made by a student warrants re-education about the topic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

Correct Answer is C

Explanation

A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?

Correct Answer is A

Explanation

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