Ati fundamentals exam
A nurse is assisting a client who is post operative with the use of an incentive spirometer. Into which of the following positions should the nurse placed the client
fowlers
ng tube placement
Above pylorus
C. Diff infection
Cover gown and gloves. negative pressure is AIRBORNE wear a mask PROTECTIVE ENVIRONMENT NONANTIMIC SOAP FOR CDIFF NOT ALC BASED ANTISEPTIC (that's TB)
Exacerbation of heart failure initiate discharge planning
During the admission process
In fire
Evacuate client
Postmortem care
First: Verify if client needs autopsy
Iv for older adult client
Insert Iv without turniquette
TB
Negative pressure airflow (airborne precaution)
Seizure
Oral nasal suction (ABC's) ALWAYS
ABG
PaCO2 below 35-45mmHG
Wrist restraints
Pad the clients wrist before applying the restraints ** check circulation range of motion vital signs every 15 minutes. Reposition every two hours. And secure two part of bedframe that move with the client
A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a tracheostomy. Which of the following actions should the nurse plan to take?
Select a suction catheter that is half the size of the lumen. The nurse should select a suction catheter that is half the size of lumen to prevent hypoxemia and trauma in the mucosa. ** The nurse should pre-oxygenate the client with 100% oxygen before suctioning. The nurse should lubricate the end of suction catheter with sterile water or .9% sodium chloride irrigation to decrease trauma not water soluble lubricant. The nurse should adjust the suction pressure to approximately 120 mm HG and no higher than 150 to prevent hypoxemia.
A nurse is preparing a heparin infusion for a client who was hospitalized with deep vein thrombosis. The order is 25,000 units of heparin and 250 mL of .9 sodium chloride to infuse at 800 units per hour.
8 ***STEPS IN CAMERA ROLL*** have/quantity=desired/x **25000 units/250ml=800 units/X ml x=8 round if neccessary.
Fluid intake
8 oz ice chips (4oz=120ml)
Sodium level of 125
Abdominal cramping. Client has hypo natremia a low sodium level. Weakness headache and nausea. positive Chvostek sign is hypomagnesemia and hypocalcemia tachycardia is a manifestation of hyponatremia and hypovolemia NOT bradycardia.
Pressure ulcer
Albumin level of 3G/DL >below 3.5 is bad HDL ABOVE 60 desirable against coronary disease norton scale above 16 is good, below 16 is pressure ulcer risk braden scale is below 18 pressure risk
A nurse is planning an education session for an older adult client who has just learned that she has type two diabetes Molite us which of the following strategies to the nurse plan to use with this client
Allow extra time for the client to respond to the questions (right)
Nasotracheal
Apply intermittent suction when withdrawal * insert nasotracheal suction catheter while client is inhaling. Discard suction catheter after use. Use dominant hand after a sterile glove.
Fluid overload
Assess electrolytes loop Diretic is to prevent rapid progress to pulmonary edema
Transfer a client who can bear weight on one leg from the bed to a chair after securing a safe environment what should they take next
Assess for orthostatic hypotension for risk of falling or fainting or dizziness or drop in blood pressure
Indwelling urinary catheter which of the following assessment findings indicate that the catheter requires irrigation?
Bladder scan shows 525 mL of urine. To resolve a blockage Key tones is a positive sign for diabetes Molite us with poor glucose control. Unusual odor is infection. Urine specific gravity of 1.035 indicates urine is concentrated but not indication for irrigation.
Pneumonia
Breath sounds is priority
A nurse is assessing a client who has been on bedrest for the past month which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis
Calf swell
125ml Iv only received 80
Check for obstruction reposition then document then ask for new IV
A nurse is responding to a call light and find a client lying down on the bathroom floor which of the following actions should the nurse take
Check the client for injuries is the first action
Screen for colon cancer indigestion of which of the following foods can cause a false negative result
Citrus fruits three days prior *avoid eating red meat for three days prior, dairy and soy products do not affect
Afterwords receiving the suture removal kit and applying sterile gloves which actions should the nurse take next
Clean sutures a long incision site
Ethical principle of veracity
Client unaware of her recent cancer diagnosis asked the nurse if she has cancer nurse response truthfully
A nurse is caring for a client who is post operative and refuses to use an incentive spirometer following major abdominal surgery which of the following is a nurse is priority action
Determine the reasons why the client is refusing to use the incentive spirometer.
pharyngeal diphtheria
Droplet > includes Rhooo bella meningococcal pneumonia strep pharyngitis
Secretions in airway
Elevate head of bed turn client every 2 hour
Venous stasis
Elevate legs one sitting in chair
A nurse is assessing an adult client who has been in Mobile for the past three weeks the nurse should identify that which of the following findings require further intervention
Erythema on pressure points
Intermittent tube feeding Gastrostomy tube
First action: check the PH
I charge nurses discussing the responsibility of nurse is caring for clients who have a clostridium Dificil infection which of the following information should the nurse include in the teaching
Have family members wear a gown and gloves when visiting to prevent the transmission of clostridium Dificil caregivers must also wear gowns and gloves
Romberg test
Have the client stand with her arms at her side
A nurse is assessing a client readiness to learn about insulin administration which of the following statements should the nurse identify as an indication of the client is ready to learn
I concentrate best in the morning
A nurse is caring for a client who requires a 24 hour urine collection which of the following statements by the client indicates an understanding of the teaching
I flushed what i urinated (right)
Heart disease
LDL 170mg/dl
Allogenic stem cell transplant which of the following precautions should the nurse plan
Mask
The nurse is performing a peripheral vascular assessment for a client when placing the Bell ownnn Terr THATS cup of the clients and actually hurts the following sound this sound indicates which of the following
Narrowed arterial lumen. Arterial bruits are blowing sounds resulting from blood flowing through occluded or narrowed arteries. **Blood flowing through distended jugular veins does not produce a sound. Impaired ventricular contraction function produces extra heart sounds either Esther your ass for. Asynchronous closure of the aorta can pull Monic valves is known as splitting of us too so the nurse would here to "" dub sounds" during auscultation
Hemorrhage shock which of the following actions should the nurse take next
Notify nurse manager
A nurse is reviewing a client fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Potassium 5.4meq/l. *not within range, risk for dysrhythmias** [correct range: BUN15mg is within range [range: creatnine .8mg/dl within range [r: sodium 143meq within range [r:
Ostomy appliance for a client who has a new colostomy
Press the skin barrier against the client skin for 30 seconds. (adhesiveness) Change the appliance 2 to 4 after a meal reuse the clamp from used asked me pouch on new pouch do not use moisturizing soap or deodorant to clean skin because they can cause skin barrier to lose adhesiveness.
Death
Pronounce death, remove tubes, wash, ask family, place name tag
A nurse is completing an admission assessment for a client who reports vomiting or diarrhea for the past three days. Which of the following assessment findings should the nurse expect
Rapid heart rate. Tachycardia indicates fluid volume deficit which is an expected finding for a client who has had vomiting and diarrhea for three days. **Neck vein distention is a clinical manifestation of fluid volume access. Urine specific gravity is greater than 1.030 in the presence of fluid volume deficit. And hypotension is it is an expected finding for a client who has fluid volume deficit.
A nurse is talking with a partner of an older adult male who has dementia the clients partner express his frustration about finding time to manage household responsibilities while caring for his partner. The nurse should identify that he is going through which of the following types of role performance stress?
Role overload. The partners expression of frustration is role overload, having more responsibilities within a role than one person can perform. * role ambiguity occurs when a person is unclear about the expectations of his role. *Sick role refers to the individual that is experiencing an alteration in Health not The carrr giver. *Role conflict develops when a person must assume opposing roles with incompatible expectations..
Heart murmur. Also take the pulmonary valve. Bell of stethoscope
Second intercostal space at the left a sternal border. Over the pulmonary valve Fourth intercostal space left sternal border is over the tricuspid valve second intercostal space at the right sternal border is the area over the aortic valve valve
A nurse is caring for a client who has an NG tube and is receiving intermittent feeding through an open system. Which of the following actions should the nurse take first
Tell the client to keep the head of the bed elevated at least 30°. The first action the nurse should take when using the airway breathing circulation approach is to prevent aspiration of the enteral formula therefore the priority intervention is to keep the head of the bed elevated to prevent reflux. ** The nurse should rinse feeding bag with warm water to reduce risk of bacterial growth but that is not priority the nurse should make the intro formula at room temperature to prevent cramping and discomfort but not priority the nurse should wipe the top of the formula can with alcohol to remove any disinfectant or micro organisms but that is not priority.
A nurse is caring for a client who reports pain. One document in the quality of the clients pain on initial pain assessment, the nurse should record which of the following client statements
The pain is like a dull ache
Iv prevent infection
Thread the IV catheter so that the hub rest of the insertion site
A nurse is administering IV fluid to another adult client the nurse should perform which priority assessment to monitor for adverse effects
also Tate lung sounds the priority assessment the nurse should make when using the airway breathing circulation approach to client care is also taking lung sounds to monitor for fluid volume access a complication of IV therapy manifestations of fluid volume access include moist crackles heard in lung fields dyspnea and shortness of breath
A nurse is caring for a client who is having difficulty breathing the client is lying in bed with a nasal cannula delivering oxygen. Which of the following intervention should the nurse first take?
assist the client to an upright position. When providing care of the nurse ***should first use the least invasive intervention. ***Therefore the nurse should elevate the head of the clients bed to semi Fowler's or high Fowlers to facilitate maximal chest expansion sitting upright improves gas exchange it prevents pressure on the diaphragm from abdominal organs. (Right)
A nurse is caring for a client who has had his diet prescription changed to a mechanical soft diet. Which of the following food item should the nurse remove from the clients breakfast tray?
fried Eggs. For client who is prescribed a mechanical soft diet the nurse should remove fried eggs from the tray. **eggs that are poached or scrambled are allowed on a mechanical soft diet and an acceptable replacement for fried eggs. ***pancakes, banana, cooked fruits, soft fruits and tomato juice are a part a of soft mechanical diet
A nurse has excepted a verbal prescription for 3/10 of a milligram of level thyroxine IV start for a client who has Mike's Adema, how should the nurse transcribe the dosage of the medication into the clients record
0.3mg
A nurse managers overseeing the care on a unit which of the following situations to the nurse manager identify as a violation of HIPAA guidelines
A nurse asks a nurse from another unit
A nurse is caring for a client who has herpes zoster and ask the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that his condition is a contraindication for which of the following therapies??
Acupuncture. The nurse should inform the client that acupuncture is contra indicated for a client who has herpes zoster, or any skin infection, to prevent an open portal on the skin surface increasing the risk for further infection. **Feverfew is a complementary and alternative therapy used by clients for WOUNDS healing should not be taken by clients who are perfect prescribed worth in or other blood thinners. Aloe is a therapy for skin disorders or wound healing affects. biofeedback is a therapy used by clients for disease processes such as stroke recovery smoking cessation, and headache disorders it is a mind-body technique.
Terminal illness her request of the decline resuscitation if she had difficulty breathing
Apply oxygen through a tube in your nose because oxygen is to provide comfort it is not resuscitative
A nurse is preparing to transfer a client who has right sided weakness from the bed to a chair
First action is to assess the client to determine if he can bear weight and assist. The next should be positioning the chair on the side of the bed closest to the client stronger side for easy access. Next have the science sit and dangle his feet as a bedside. Then the nurse should use the stand and pivot technique to move the client to the chair.
A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take
Flush the tube with 50 mL of sterile water. The nurse should flush the feeding tube with 15 to 30 mL of water before administration and between each medication. Nurse should flush the feeding tube with 30 to 60 mL of water following the administration of the last medication. **The nurse should draw a medication separately and not mix them together. It's a Nursing counters resistance when administering medications he should stop in contact the provider. The nurse should dissolve each medication and at least 30 mL of warm sterile water not five.
A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown
Have the client use a trapeze bar when changing positions. Assist with repositioning and transferring, the client avoids the friction and sharing their results from sliding up and down in bed shearing is a risk factor for pressure ulcer development. *High Fowlers position places additional pressure on sacrum and heals increase protein and take helps with tissue repair but not root prevention massage w lotion can causecapillary breakdown in subcutaneous tissues.
A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of the following statements of the nurse identifies an indication that the client understands how to manage this therapy at home
I'll check my wires and cables on my TV to make sure they are in good working order. Oxygen is a highly flammable gas the client should make sure any electrical equipment in the room is functioning properly so it does not create any electrical sparks. **Smokers my smoke outside wool and synthetic materials can create sparks so use a cotton blanket client should keep her oxygen tank up right and secure and it's holder at all times.
Gastrostomy tube. The family member providing the feedings reports of the client has begun to have diarrhea.
It's because the family member washes out the feeding bag with warm water once every 24 hours. The family member should wash the feeding bag 4 to 8 hours and replace it with a new feeding bag every 24 hours to prevent bacterial contamination. Cold formula can cause gastric cramping so room temperature formula is appropriate diarrhea is more likely to develop with rapid installation of intro formula not continuous strip formulas.
A nurse is administering an Otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear
Press gently on the tragus of the clients ear. to help the medication get into the inner ear. ** inserting cotton into the meters of the canal could damage the ear if cotton is necessary use it on the outer portion. For an adult client the nurse should move the oracle upward and backward or up and out to straighten the ear canal. The nurse should lie on her side with the ear that received the installation facing upwards for 2 to 5 minutes.
A nurse is caring for a client who is reporting difficulty falling asleep which of the following message to the nurse recommend
Progressive relaxation techniques a bedtime promote sleep. by decreasing stress and reducing muscle tension hot cocoa contains caffeine exercising within two hours of my time can if you were sleep and reflecting on the days activities can cause stress and worry
A nurse is assessing an older adult clients risk for falls which of the following assessment should the nurse you so identify the client safety needs
Pupil clarity visual fields in visual acuity.
A nurse in the surgical site notes documentation on a clients medical record that he has a latex allergy. In preparation for the clients procedure which of the following precautions to the nurse take
Rap monitoring Kors with stockinette and tape them in place many monitoring devices in quarts contain latex the nurse prevent any contact of these cords andDevices with the client skin by covering them with a non-latex barrier your material such as stockkkk and nightttt and using normally text tape to secure them. "On "hypoallergenic" latex gloves contain latex and still provoke an allergic response powder is especially harmful because it contains the latex proteins the nurse should make all the members of the client staff wear non- late text gloves.
Hearing aid
Reinsert aid if whistling sound wear hearing aids 15 to 20 minutes each day 210 to 12 hours each day clean hearing aid with soft cloth and client turn up aid only 1/3 to 1/2 volume
A nurse is caring for a client requires bed rest and has a prescription for antiembolic stockings which of the following actions should the nurse take
Remove stockings at least once per shift
Latex allergy
Spina bifida. allergy to walnuts or at risk for cross sensitivity to develop latex allergy smoking is complications with anesthesia
Repositioning client ergonomic principle
Tighten abdominal muscles raise height of the bed to elbow level use arms and legs to reposition the client feet shoulder width apart
A nurse is planning care to improve self-feeding for a client who has lost vision. Which of the following intervention should the nurse include in the plan of care
Use a clock pattern to describe food on the clients plate. The clock pattern allows greater independence during meals. ** use large handle utensils not small handle utensils. Clients who have dysphasia require thickening of liquids not vision loss. The nurse should allow the client to decide for herself which order she should can consume her food.
A nurse is caring for a client who has terminal liver cancer which of the following statements should the nurse identify as an indication of the client is experiencing spiritual distress
What could I have done to deserve this illness. The clients terminal illness might prompt him to review his life in question it's meaning a manifestation of the clients spiritual distress is asking why this illness is happening to him. The quote will I ever begin to feel in charge of my life again?" Is a statement that reflects the clients feelings of powerlessness, not spiritual.
A nurse is planning to insert in peripheral IV catheter for an older adult client which of the actions should the nurse plan to take?
placed the clients arm in a dependent position. This will dilate the veins due to gravity. **The nurse should insert the catheter at a 10 to 30° angle for peripheral IV. The nurse should clip excess hair from the IV insertion site and avoid shaving. The nurse should AVOID using fragile veins of an older adults hands because the loss of subcutaneous tissue makes the veins roll away from the needle IV catheter in the clients hand interferes with self performance of activities of daily living and can diminish an older adult sense of independence and mobility
A nurse is caring for a client receiving fluid do a peripheral IV catheter which of the following findings of the IV site should the nurse identify as infiltration.
Skin blanching. Skin blanching Adema and coolness at the IV site indicate infiltration. ** bleeding can have a mechanical cause or can occur as a result of anticoagulation not infiltration exit date indicates infection rather than infiltration and warmth indicates phlebitis rather than infiltration.
A nurse is reviewing the clients medication prescription which reads "digoxin .25 by mouth every day" which of the following components of the prescription to the nurse question
The dose. The dose should follow a unit of measurement measurement such as milligrams. * medication prescription should read: the medication, the dose, the route, then the frequency.
Nitrogen balance for wound healing good source of complete protein
Cheddar cheese. Complete proteins have all nine of the essential amino acids to help and promote like cheese, poultry, and fish
Active ROM
Complete each session 2 times day, same sequence of movement, too point of resistance, each excessive 3 times
Sterile procedure
Position bedside table prior to opening sterile packages
A nurse is evaluating a clients use of a cane. Which of the following actions should the nurse identify as an indication for correct use
The client holds the cane on the stronger side of her body. The client should hold the cane on the stronger side of her body to increase support and maintain alignment. **The client should move her weaker leg forward with the cane. This devise the clients body weight between the cane and her stronger leg
A nurse is caring for a client who asked about the purpose of advance directives. Which of the following statements of the nurse make.
They indicate the form of treatment a client is willing to except in the event of a serious illness.
Nurse is caring for a client who is terminally ilL which of the following statements to the nurse identify as an indication of the clients family member is coping effectively with the situation.
This is a difficult time but we are helping each other through this
Medication reconciliation(discharge)
Compare prescriptions with medications the client received during hospitalization
A nurse is caring for a client who requires an NG tube for stomach decompression which of the following actions should the nurse take one in starting with an NG tube
Have the client take sips of water to promote insertion of the NG tube. Taking sips of water in the anti-two passes through the oropharynx wall closed epiglottis over the trachea and prevent tubes passage into the trachea. *The nurse should not apply suction until the NG tube is in place and he was verified his position to reduce any risk of injury to the client. (Right)
A nurse is caring for a client who is expressing anger over his diagnosis of color rectal cancer which of the following actions should the nurse take
Reassure the client this is an expected response to grief
A nurse is using an open arrogation technique to irrigate a clients indwelling urinary catheter which of the following actions should the nurse take
Subtract the amount of arrogant used from the clients urine output. * nurse should use 30 to 50 mL syringe to perform or open irrigation. Open irrigation technique requires 30 to 40 mL of irrigation fluid. *For catheter irrigation the nurse should place the client in a supine or dorsal recumbent position for maximal access to the catheter.
A nurse is preparing a change of shift report. Which of the following tools or document should the nurse use to communicate to continuity of care
Situation, background, assessment, and recommendation ( S bar). This is the tool used during a change of shift report. ** The nurse should use a transfer report when the client is moving from one healthcare area or facility to another. The nurse should use the Marr to document medication administration.** A critical pathway is an interprofessional approach to planning all phases of client care.
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self injury which of the following actions should the nurse take one lifting this object
Stand close to the cabinet and lifting it. This action keeps the cabinet close to the nurses center of gravity and decrease his back strain. **the nurse should use his arm and leg muscles were lifting the cabinet not back muscles. Nurse should spread his feet white apart to create a broad base of support not together. The nurse should bend his knees when lifting the cabinet not waist.
A nurse is providing care to four clients. Which of the following situations require the nurse to complete an incident report
A client who has an IV infusion pump receives an additional 250 mL of IV fluid. The nurse should complete an incident report if an IV infusion pump malfunctions to assist in compiling information for risk management to determine actions to take further similar incidents. **The nurse may administer a routine medication 1 to 2 hours before the time is due. A client who is tuberculosis should wear a surgical mask went outside of her room to her event the spread of infection. The nurse should tie the clients restraint straps to the movable parts of the bed frame to prevent injury when the client or staff member raises or lowers the bed.
A nurse is admitted dating a client who has an abdominal wound with a large amount of purulent drainage which of the following types of transmission precaution so the nurse initiate
Contact precautions. ***Major wound infections require contact precautions, which means the nurse should admit the client to a private room all caregivers should wear a gown and gloves during direct contact with this client.
Lung sounds
Crackles are discontinuous sounds during inhalation. Rhonci are dry low pitched snore like noises due to a partial obstruction in the bronchial tube or throat. Friction rub is scratching or squeaking sound through the respiratory cycle.
A nurse is preparing to administer a .5 mL of oral single dose liquid medication to a client which of the following actions should the nurse take
Gently shake the container of medication prior to administration
A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following intervention should the nurse include that that is within their RN scope of practice
Initiate an internal feeding through a gastronomy tube. Or nasoenteric, and jejunostomy. Inserting and implanted port closing a laceration or placing an endotracheal tube is all for physicians.
A nurse is caring for a client was a prescription for five units of regular insulin and 10 units of NPH insulin to mix together and administer
Inject air☼ to the insulin of n pH without touching the needle to the solution then inject air to the vile of regular insulin and then withdraw the correct amount of regular insulin finally into the needle into the NPH insulin and draw the correct amount of NPH insulin
A nurse is caring for a client who is tuberculosis which of the following actions should the nurse take
Play the client in a room with negative pressure airflow Wear gloves when assisting the client with oral Care use antimicrobial sanitizer for hand hygiene for turbo locus and also wash hands
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses which of the following statements to the nurse manager plan to include in the teaching
Use the complete name of the medication magnesium sulfate that's a super safe medication practices designates that nurses and providers right to complete medication name when documenting medications to avoid any misinterpretation misinterpretation
A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity which of the following types of activities should the nurse recommend
Walking briskly. weight-bearing exercises are essential for maintaining bone mass, which helps to prevent osteoporosis walking engages older adult clients and then preventive and therapeutic strategy
A nurse is caring for a client who is refusing a blood transfusion for religious reasons the clients partner wants to have the client have the blood transfusion which of the following actions should the nurse take?
Withhold the blood transfusion . The principle of autonomy ensures that the client who is competent has the right to refuse treatment.
A nurse in a clinic is caring for a middle adult client who states the doctor says that since I am at an average risk for colon cancer I should have a routine screening what does that involve which of the following responses to the nurse make
You should have a fecal occult blood test every year. Colorectal cancer screening for clients average average rest begins at age 51 option for screening is fecal occult blood test annually
A nurse in a long-term care facility is planning to perform hygiene care for a new resident. Which of the following assessment questions is the nurses priority before beginning this procedure?
Are you able to help with your hygiene care? The greatest risk to client safety in an injury resulting from an over estimation of the clients ability to help with hygiene care therefore it is a priority to assess the clients ability to assist with hygiene care. ** although not priority;;; when do you usually base helps with clients usual routine enhance clients comfort preserve her self-esteem. do you prefer a bath or shower helps remote client comfort in independence and preserve her self-esteem at what temperature do you prefer your bathwater it's for clients comfort and self-esteem and independence but not priority.
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse Chause at 1 mL of the medication from a 2ML vile. which of the following actions should the nurse take?
Ask another nurse to observe the medication wasted. A second nurse must witness the disposal of any portion of a dose of controlled substances. ** pharmacies do not require a notification of disposal of controlled substance the nurse should not lock the remaining controlled substance in the cabinet because this is a violation of controlled substance act neither the sharps container.
A nurse is caring for a client who has a prescription wound irrigation. Which of the following actions should the nurse take
Cleanse the wound from the center out word. ** The nurse should use a 35 mL syringe to irrigate the wound. The nurse should wear clean gloves to remove all dressing not sterile gloves. The nurse should warm the irrigation fluid to body temperature not high temperatures.
A nurse is admitting a client who has influenza. Which of the following types of transmission precaution so the nurse initiate.
droplet. Droplet precautions are a requirement for clients who have infections that spread via droplet nuclei that are larger than 5 µm in diameter including influenza, rubella, meningococcal pneumonia, and strep pharyangitis. ** airborne precautions are requirement for clients who have infections that spread via via droplet smaller than 5 µm in diameter including varicella, tuberculosis, and measles. ** contact precautions are requirement for clients with infections that spread via direct contact or contact with the environment, including van so myosin resistant enterococci, methicillin- resistance staphylococcus aureus, and scabies. ** protective environment clients who have an immune system (immuno) compromise such as those who had an allogeneic hematopoietic stem cell transplant require a protective environment.
