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    Hesi RN exit proctored examQuestion 86
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    Hesi RN exit proctored exam

    An older adult client with a history of heart failure is admitted with influenza and requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed assistive personnel (UAP) wearing a gown and gloves to assist the client. Which action should the nurse take?

    Explanation & Rationale

    A. Review the need for the UAP to wear a face mask while in close contact with the client: Influenza is transmitted through respiratory droplets, so the UAP should wear a mask in addition to gown and gloves when assisting the client. B. Remind the UAP to apply a fitted respirator mask before entering the client's room: A fitted respirator mask (e.g., N95) is generally used for airborne precautions such as tuberculosis which requires droplet precautions. A face mask is sufficient in this case. C. Assign the UAP to provide care for another client and assume full care of the client: While it may be necessary to adjust staffing, this is an extreme response. The UAP can continue caring for the client with proper precautions. D. Instruct the UAP to notify the nurse of any changes in the client's respiratory status: While it is always important for the UAP to report changes in the client’s condition, this action does not address the immediate concern about PPE use.

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