A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?
A. Airborne B. Droplet C. Contact D. Protective environment
Answer and Explanation
The Correct Answer is C
A. Airborne precautions are used for diseases transmitted by tiny particles that remain suspended in the air and are inhaled, such as tuberculosis or measles. Mononucleosis is not spread through
the airborne route.
B. Droplet precautions are for diseases transmitted by respiratory droplets, like influenza or pertussis. While mononucleosis can be transmitted through respiratory secretions, it's primarily spread through direct contact with saliva.
C. Contact precautions involve preventing the transmission of pathogens by direct or indirect contact. Given that mononucleosis is transmitted through saliva, contact precautions, including wearing gloves and gowns, are appropriate to prevent its spread.
D. Protective environment precautions are used to protect immunocompromised patients from outside pathogens, such as those recovering from bone marrow transplants. They are not applicable for a client with mononucleosis.
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Related Questions
Correct Answer is C
Explanation
A. While reassurance is important, simply telling the client that she will adjust to changes to her body may minimize her concerns and not adequately address her emotional needs. It's important to offer support and provide resources to help the client cope with potential changes.
B. While an occupational therapist may be able to provide valuable support, their role may not specifically address the client's concerns about body image changes related to breast cancer treatment.
C. Reach to Recovery is a program offered by the American Cancer Society that connects newly diagnosed breast cancer patients with trained volunteers who have experienced breast cancer themselves. These volunteers can offer support, guidance, and practical tips for coping with the physical and emotional challenges of breast cancer diagnosis and treatment. Initiating a referral to this program can provide the client with valuable support from someone who has been through a similar experience.
D. While surgery may be an option for restoring the appearance of the breast, it may not fully address the client's concerns about potential changes to her body image. Additionally, not all breast cancer patients undergo surgery or choose reconstructive procedures, so it's important to provide support and resources regardless of the treatment chosen.
Correct Answer is D
Explanation
A. Incorrect. Upper gastrointestinal series typically involve oral ingestion of a contrast medium, not an injection.
B. Incorrect. Clients are usually instructed to fast before an upper gastrointestinal series, not consume breakfast.
C. Incorrect. While it's generally advisable to have someone accompany the client for procedures involving sedation or anesthesia, fluoroscopy itself does not usually require sedation, and the client can typically drive home afterward.
D. Correct. Prior to an upper gastrointestinal series, clients are usually required to drink a contrast medium to outline the digestive tract for fluoroscopy imaging.
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