A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?

Social relationships between nurses working the oncoming shift

The most experienced nurse receives the more complex clients

The physiologic status of the clients on the unit

Personal comfort level in making the assignments

Answer and Explanation

The Correct Answer is C

A.   While considering staff morale is important, it should not be the primary factor in making patient assignments. The focus should be on patient safety and care needs.

B.   While experience is a valuable asset, it's not always fair or practical to assign the most complex patients to one nurse. It's essential to consider the overall workload and skill mix of the nursing staff.
C.   This is the most crucial factor in making patient assignments. Patients with unstable conditions or complex care requirements should be assigned to nurses with the appropriate skills and experience.
D.   The charge nurse's personal comfort should not influence patient assignments. The primary goal is to ensure safe and effective patient care.

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Correct Answer is C

Explanation

A. While placing the client in a room within view of the nurses' station might allow for closer monitoring, it does not address the specific infection control requirements needed for a patient with active TB. TB is an airborne pathogen, so simply placing the room near the nurses' station does not prevent the spread of TB germs to other patients or staff.
B. This option is not specifically appropriate for TB unless the client requires intensive monitoring or care that cannot be provided on a general medical-surgical unit. The ICU is not designed specifically for airborne isolation and does not offer the specialized ventilation required for managing TB patients.
C. For a patient with active TB, the room should have specialized ventilation to prevent the spread of airborne pathogens. A room with air exhaust directly to the outdoor environment is ideal for TB patients as it ensures that the airborne particles are effectively removed from the healthcare environment, minimizing the risk of transmission to others.
D. Tuberculosis is an airborne infection, so placing a TB patient in a room with another client, regardless of whether they are nonsurgical, poses a risk of transmission. TB requires a single-patient room with proper ventilation to prevent the spread of the disease to other patients and staff.

A. 216 B. 208 C. 212 D. 214

Correct Answer is B

Explanation

A. A positive-pressure airflow room is designed to keep potentially contaminated air from entering the room, making it suitable for immunocompromised patients who need protection from airborne pathogens. However, for a client with symptoms suggestive of tuberculosis (TB), such as a productive cough and a positive Mantoux test, a positive-pressure room is not appropriate.
B. A negative-pressure airflow room is specifically designed to contain airborne pathogens within the room and prevent their spread to other areas. This is the appropriate type of room for a client with symptoms indicative of TB, as it helps to ensure that any infectious particles are not dispersed into the general environment.
C. A semi-private, positive-pressure airflow room is not suitable for a patient with a suspected infectious disease like TB. The positive pressure could potentially allow airborne pathogens to escape from the room, which poses a risk to others. This type of room is generally used for patients who need protection from external pathogens rather than those who may be spreading infection.
D. While a negative-pressure room is appropriate for controlling airborne pathogens, a semi-private room may not be suitable for a patient with a suspected infectious disease like TB. TB patients should ideally be placed in a private room to avoid potential exposure to other patients, as semi-private rooms could still allow for transmission of airborne diseases between patients.

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A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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