A client is admitted to a unit with influenza. What is the most appropriate type of precautions that should be initiated by the nurse for this client?
A) Droplet Precautions
B) Contact Precautions
C) Airborne Precautions
D) Protective Precautions
A
Feedback:
Influenza is a disease that is spread by droplets. Hence, the nurse should follow Droplet Precautions for clients with influenza. The nurse should follow Contact Precautions for clients with illnesses that spread through contact transmission. Examples of illnesses that spread by contact transmission include drug-resistant gastroenteritis; respiratory, skin, and wound infections; hepatitis A; herpes simplex virus; impetigo; scabies; and pediculosis. The nurse should follow Airborne Precautions for clients with illnesses that spread through airborne transmission. Tuberculosis (TB), measles, and chickenpox are examples of airborne-transmitted infections. Clients who must be protected from the outside environment and need to be shielded from others' microorganisms are kept in protective isolation.
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An elderly patient with Alzheimer's disease begins supplemental tube feedings through a gastrostomy tube to provide adequate calorie intake. The nurse should be concerned most with the potential for:
A) Hypoglycemia B) Fluid volume excess C) Aspiration D) Constipation
A patient who has suffered an allergic reaction to a bee sting is stabilized and prepared for discharge from the clinic
During discussion of prevention and management of further allergic reactions, the nurse identifies a need for additional teaching based on which comment? a. "I need to think about a change in my occupation." b. "I will learn to administer epinephrine so that I will be prepared if I am stung again." c. "I should wear a Medic-Alert bracelet indicating my allergy to insect stings." d. "I will need to take maintenance doses of corticosteroids to prevent reactions to further stings."
A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant therapy. After teaching the woman about this treatment, the nurse determines that additional teaching is needed when the woman states which of the following?
A) "I will use a soft toothbrush to brush my teeth.". B) "I can take ibuprofen if I have any pain.". C) "I need to avoid drinking any alcohol.". D) "I will call my health care provider if my stools are black and tarry.".
The nurse is preparing a client for a cardiac catheterization. What assessment is a priority before the procedure?
a. Client's level of anxiety b. Ability to turn self in bed c. Cardiac rhythm and heart rate d. Allergies to iodine and shellfish