The nurse is caring for a 4-year-old child who has rubella. Which transmission precautions should the nurse implement to prevent rubella exposure?
1. Contact precautions
2. Droplet precautions
3. Airborne precautions
4. Standard precautions
2
2. The nurse implements droplet precautions for the client with rubella because large droplets expelled by the client during coughing, talking, or sneezing transmit the vi-rus.
1 and 3. Contact and airborne precautions are not indicated because rubella is not transmitted by direct contact or by suspended particles in the air.
4. Standard precautions are suitable for all clients but do not prevent rubella trans-mission without addition droplet precautions.
You might also like to view...
A health care provider is evaluating the results of hematologic studies for a patient with cancer receiving busulfan (Myleran). Which of the following laboratory results would indicate that the patient is tolerating the drug?
a. Absolute neutrophil count (ANC) of 4500/mm3 b. Platelet count of 40,000/mm3 c. Blood urea nitrogen (BUN) of 18 mg/dL d. Hematocrit of 28 mg/dL
The nurse is using the acronym SOAP to record information obtained from a client assessment. Which should the nurse recognize should be recorded in the "S" category?
A. Blood pressure of 177/93 mmHg. B. Client states they lost their insurance. C. Inability to afford prescriptions. D. Social service referral.
A 54-year-old client expresses concern about her weakening sense of smell to the nurse during an admission interview. The nurse's most therapeutic response is:
1. "I don't think it is anything to worry about, but you could mention it to your health care provider" 2. "That is really a fairly common complaint of people your age; I don't think there is anything to worry about" 3. "As long as you can smell things like smoke if there is a fire, I think it is some-thing you need to get used to" 4. "As long as you can smell things like smoke if there is a fire, I think it is some-thing you need to get used to"
A person at the emergency department is diagnosed with a concussion. The individual is accompanied by a spouse who insists on staying in the room and answering all questions. The patient avoids eye contact and has a sad affect and slumped shoulders
Assessment of which additional problem has priority? a. Phobia of crowded places b. Risk of domestic abuse c. Migraine headaches d. Major depression