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NCLEX ISOLATION PRECAUTIONS
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mg Select ALL the patients that would be placed in droplet precautions:
- A 5 year old patient with Chicken Pox.
- A 36 year old patient with Pertussis.
- A 25 year old patient with Scarlet Fever.
- A 56 year old patient with Tuberculosis.
- A 69 year old patient with Streptococcal Pharyngitis.
- A 89 year old patient with C. Diff.
- A 36 year old patient with Pertussis.
- A 25 year old patient with Scarlet Fever.
- A 69 year old patient with Streptococcal Pharyngitis.
- Surgical mask, goggles, gown
- N95 mask, face shield, gown, gloves
- N95 mask, gown, face shield
- Surgical mask, face shield, gown, gloves
- N95 mask, face shield, gown, gloves
The answers are B, C, E. Patients with Pertussis (Whooping Cough), Scarlet Fever, and Streptococcal Pharyngitis are to be placed in droplet precautions. Patients with TB are to placed in airborne precautions while a patient with Chicken Pox should be place in both airborne and contact precautions. Patients with C. Diff are to be placed in contact precautions.A patient with Disseminated Herpes Zoster requires routine tracheostomy suction. Select the appropriate PPE you will wear:*
The answer is B. A patient with Disseminated Herpes Zoster is in airborne AND contact precautions. Therefore, you are required to always wear an N95 mask, gowns, and gloves and to follow standard precautions. In this case (because you are providing trach suction), you will be at risk for splash of mucous or blood on the clothing, skin, and mucous membranes. Therefore, you must wear the required N95 mask ,gown, gloves, AND face shield.
A 6 year old female is diagnosed with Varicella. What type of isolation precautions will be initiated for this patient?*
- Droplet
- Airborne
- Airborne and Contact
- Droplet and Contact
- Airborne and Contact
- Notify the receiving department and place a surgical mask on the patient.
- Place an N95 mask on the patient and notify the receiving department.
- Cancel transport and notify the physician for further orders.
- Notify the receiving department and place goggles, gown, and mask on the patient.
- Notify the receiving department and place a surgical mask on the patient.
The answer is C. A patient with Varicella (chicken pox) will be in airborne and contact precautions.You're patient is being transported to special procedures for a PICC line placement. The patient is in droplet precautions. What are your nursing actions to ensure proper transport of the patient?*
The answer is A. You should notify the receiving department and place a surgical mask on the patient.
Select ALL the conditions that warrant airborne precautions:*
- Noravirus
- Hepatitis A
- Measles
- Varicella
- Disseminated Varicella Zoster
- Tuberculosis
- Whooping Cough
H. RSV
- Epiglottitis
- Measles
- Varicella
- Disseminated Varicella Zoster
- Tuberculosis
- Contact
- Standard
- Droplet
- Contact and Droplet
- Contact
The answers are C, D, E, F. Measles, Varicella (chicken pox), Disseminated Varicella Zoster (shingles), and TB require airborne precautions. NOTE: Varicella and Disseminated Varicella Zoster also require contact precaution as well. Noravirus and RSV are contact precautions. Hepatitis A is contact precautions IF the patient is diapered or incontinent of stool. Whooping cough (Pertussis) and Epiglottitis are droplet precautions.A patient is diagnosed with Hepatitis A and is incontinent of stool. What type of precautions would be initiated?
The answer is A. Patients with Hepatitis A are placed in contact precautions IF the patient is diapered or incontinent of stool. Remember Hep A is spread through stool.
You'rer providing care to a patient with C. Diff. After removing the appropriate PPE, you would perform hand hygiene by:*
- Using hand sanitizer
- Using soap and water
- Using soap and water only if hands are soiled but can use hand sanitizer
- Using either hand sanitizer or soap and water
- Using soap and water
- A 8 year old patient with lice.
- A 85 year old patient with CRE (Klebisella Pneumoniae).
- A 65 year old patient with Noravirus.
- A 75 year old patient with Disseminated Herpes Zoster.
- A 12 year old patient with impetigo.
- A 9 year old with RSV.
- "I will make sure that any patient who is in droplet precaution wears a surgical mask when being transported."
- "Patients with airborne diseases such as Meningitis require a special room with negative air pressure."
- "I will always wear a gown and gloves when entering a room of a patient in contact precautions."
- "If I provide care to patients with C. Diff, Noravirus, and Rotavirus infections, I will always wash my hands with soap and water, not hand
- "Patients with airborne diseases such as Meningitis require a special room with negative air pressure."
The answer is B. After providing care to patients with C. Diff, Noravirus, or Rotavirus, you must perform hand hygiene by washing the hands with ONLY soap and water. Hand-sanitizer is not sufficent enough in killing the germs in these conditions.Which of the following patients would be in contact precautions? Select-all-that-apply:*
All of the answers are correct 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?*
sanitizer."
The answer is B. This statement is FALSE because Meningitis is not a condition that requires airborne precautions but droplet precautions.However, patients with airborne diseases do require a special room with negative air pressure. However, patients with Meningitis do not.Your patient in droplet precautions has family visiting. A family member asks how far they should stand away from the patient while visiting. Your
response is:*
- 2 feet or more
- 3 feet or more
- Stand at the doorway
- 6 feet or more
- 3 feet or more
- feet before falling. Terms (10)
The answer is B. Patients in droplet precautions should keep a distance of 3 feet or more from visitors or other patients. Remember the respiratory droplets expelled from patients with droplet diseases do not stay suspended in the air (like in airborne disease) and only travel about
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