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Isolation Techniques and Patient Care
1. In the medical unit, Mr. Bouchard, a 72-year-old with Clostridium difficile, has been on contact isolation for several days. During morning care, the LPN notices that he has become withdrawn and refuses to eat, saying, “No one wants to come near me anymore.” What is the most therapeutic nursing intervention?
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Explain that isolation is necessary and leave quickly to avoid exposure
Encourage verbal expression and maintain frequent communication despite PPE
Ask the physician to discontinue isolation to improve morale
Limit conversation to reduce contamination risk
2. A 60-year-old woman with influenza must be transported from her room to radiology for a chest X-ray. She is under droplet precautions. What should the LPN do to ensure safe transport?
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Have the patient wear a surgical mask during transport
The LPN wears an N95 mask and gown during transport
Place the patient in a wheelchair with no precautions
Transport the patient with the isolation gown removed
3. An LPN provides wound care to a patient with MRSA in isolation. After completing the procedure, she prepares to exit the room. What is the correct protocol for handling used equipment?
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Disinfect reusable equipment before removing PPE
Bring equipment to the clean utility room for later cleaning
Leave equipment in the patient’s room for environmental services
Carry used equipment in a plastic bag through the hallway
4. In a long-term care facility, several residents test positive for influenza. To manage limited space, management decides to place infected residents together in one area. What principle of infection control does this reflect?
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Cohorting patients with the same infection to prevent cross-contamination
Separating residents by room size and mobility
Allowing mixed placement if PPE is used correctly
Prioritizing private rooms for independent residents
5. The LPN is assigned to care for Mrs. Tran, who is on contact precautions due to a wound infection. Mrs. Tran seems embarrassed each time staff put on gowns and gloves before entering her room. Which nursing approach best maintains Mrs. Tran’s dignity?
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Reassure her that PPE use is routine for many patients, not just her
Avoid explaining PPE to minimize her discomfort
Ask staff to remove PPE when not performing care
Enter the room without PPE for short conversations
6. The LPN changes a dressing on a draining wound in a patient on contact precautions. After care, the LPN must dispose of contaminated materials. What is the appropriate waste disposal method?
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Dispose of waste in a designated biohazard container inside the patient’s room
Carry waste in a plastic bag to the hallway bin
Flush contaminated materials in the toilet
Place waste in a regular trash can if double-bagged
7. After 10 days of airborne isolation for tuberculosis, Mr. Gagnon tells the LPN, “I feel trapped and lonely in here. I miss talking to people.” What should the LPN do to help reduce his sense of isolation?
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Schedule short but regular visits with proper PPE
Ask the physician to discharge him early
Reduce frequency of care to limit exposure
Tell him to use the phone only if necessary
8. The LPN must accompany a patient with MRSA for a diagnostic test in another department. What is the nurse’s priority before transport?
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Notify the receiving department about the patient’s isolation status
Remove all PPE before leaving the room
Carry clean linens during transport
Disinfect the wheelchair after returning to the unit
9. The family of a resident with C. difficile wishes to visit. They are unsure about the required precautions. What should the LPN teach them?
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Wear gloves and gown, and wash hands with soap and water before leaving
Use only hand sanitizer after the visit
Wear a mask only
They cannot visit until the infection resolves
Isolation Techniques and Patient Care
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