HESI Leadership
HESI Leadership ( 49 Questions)
A client with influenza is admitted to the medical unit. The nurse observes an unlicensed assistive personnel (UAP) preparing to enter the client's room to take vital signs and assist with personal care. The UAP has applied gloves and a gown. Which action should the nurse take?
Reason: Reviewing the need for the UAP to wear a face mask is not enough because influenza is transmitted by respiratory droplets that can be inhaled by anyone within 6 feet of the infected person. A face mask does not provide adequate protection from inhalation of droplets.
Reason: This is the correct answer because a fitted respirator mask (such as N95) can filter out at least 95% of airborne particles and prevent exposure to influenza virus. The UAP should wear a respirator mask along with
gloves and a gown when providing care for a client with influenza.
Reason: Assigning the UAP to provide care for another client and assuming full care of the client is not necessary or feasible because it would increase the workload of the nurse and reduce the quality of care for both
clients. The UAP can still assist with care for the client with influenza as long as they follow proper infection control measures.
Reason: Instructing the UAP to notify the nurse of any changes in the client's respiratory status is important but not a priority action because it does not address the issue of preventing transmission of influenza. The nurse should first ensure that the UAP wears appropriate personal protective equipment before entering the client's room.
Choice A Reason: Reviewing the need for the UAP to wear a face mask is not enough because influenza is transmitted by respiratory droplets that can be inhaled by anyone within 6 feet of the infected person. A face mask does not provide adequate protection from inhalation of droplets.
Choice B Reason: This is the correct answer because a fitted respirator mask (such as N95) can filter out at least 95% of airborne particles and prevent exposure to the influenza virus. The UAP should wear a respirator mask along with gloves and a gown when providing care for a client with influenza.
Choice C Reason: Assigning the UAP to provide care for another client and assuming full care of the client is not necessary or feasible because it would increase the workload of the nurse and reduce the quality of care for both clients. The UAP can still assist with care for clients with influenza as long as they follow proper infection control measures.
Choice D Reason: Instructing the UAP to notify the nurse of any changes in the client's respiratory status is important but not a priority action because it does not address the issue of preventing transmission of influenza. The nurse should first ensure that the UAP wears appropriate personal protective equipment before entering the client's room.