A charge nurse is preparing to admit four new clients to the unit. Which of the following clients should the nurse assign to a private room?

A 32-year-old client who has chlamydia

A 50-year-old client who has Candida albicans

A 25-year-old client who has vaginal trichomonas

A 40-year-old client who has streptococcal pharyngitis

Answer and Explanation

The Correct Answer is D

A. A 32-year-old client who has chlamydia: Chlamydia is a sexually transmitted infection that is not transmitted via airborne or droplet routes. Standard precautions are sufficient, and a private room is not required.

B. A 50-year-old client who has Candida albicans: Candida infections are generally superficial and not highly contagious. Standard precautions are adequate, so a private room is not necessary.

C. A 25-year-old client who has vaginal trichomonas: Trichomoniasis is a sexually transmitted infection and does not require isolation. Standard precautions are appropriate for this client.

D. A 40-year-old client who has streptococcal pharyngitis: Streptococcal pharyngitis is transmitted via respiratory droplets. Placing the client in a private room or with another client who has the same infection helps prevent transmission, making a private room the most appropriate assignment.

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Correct Answer is B

Explanation

A. "Have you noticed a rash or reddening of your skin?": While skin irritation can occur with some occupational exposures, insulation installers are more commonly exposed to airborne fibers that affect the respiratory system rather than causing primary skin rashes.

B. "Do you have a cough or any breathing problems?": Insulation installers are at risk for inhaling fiberglass, asbestos, or other particles that can irritate the lungs and airways. Assessing for respiratory symptoms is essential to identify potential occupational lung disease or irritation.

C. "Have you noticed any loss of hearing or ringing in your ears?": Hearing loss and tinnitus are more relevant for workers exposed to loud noise, such as in manufacturing or construction environments with heavy machinery, rather than insulation installation specifically.

D. "Do you have any numbness or tingling in your fingers?": Numbness or tingling is usually associated with repetitive motion injuries, neuropathies, or exposure to vibrating tools. While possible, it is less directly related to the primary occupational hazards of insulation work.

A. "Attempt to gag” B. "Take an antiemetic when feeling nauseated." C. "Apply firm pressure to the eyes." D. "Eat a high-fiber diet to keep stools soft." E. "Bear down to slow the pulse rate."

Correct Answer is ["B","D"]

Explanation

A. "Attempt to gag": Gagging stimulates the vagus nerve and can worsen bradycardia. Clients should be instructed to avoid actions that trigger the gag reflex, so this instruction is not recommended.

B. "Take an antiemetic when feeling nauseated.": Nausea and vomiting can increase vagal stimulation. Taking an antiemetic as prescribed helps prevent excessive vagal nerve activation, which can reduce the risk of further slowing the heart rate.

C. "Apply firm pressure to the eyes": Applying pressure to the eyes can stimulate the vagus nerve, potentially exacerbating bradycardia. Clients should avoid eye rubbing or pressure.

D. "Eat a high-fiber diet to keep stools soft": Straining during defecation stimulates the vagus nerve and can worsen bradycardia. A high-fiber diet promotes regular, soft stools and helps prevent straining, thereby reducing vagal stimulation.

E. "Bear down to slow the pulse rate": Bearing down (Valsalva maneuver) directly increases vagal stimulation, which can dangerously slow the heart rate in clients with bradycardia. This action should be avoided.

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A charge nurse is preparing to admit four new clients to the unit. Which of the following clients should the nurse assign to a private room?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an occupational risk assessment on a client. The client works as an insulation installer. Which of the following questions should the nurse ask the client?

Correct Answer is B

Explanation

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Correct Answer is ["B","D"]

Explanation

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