A client has been hospitalized with tuberculosis (TB). The client's spouse is fearful of entering the room where the client is in isolation and refuses to visit.
What action by the nurse is best?
Ask the spouse to explain the fear of visiting in further detail.
Inform the spouse that the precautions are meant to keep other clients safe.
Show the spouse how to follow the Isolation Precautions to avoid illness.
Tell the spouse that he or she has already been exposed, so it's safe to visit.
The Correct Answer is C
Choice A rationale
While understanding the spouse's fear is important for a holistic approach, it does not directly address the underlying knowledge deficit or provide a solution to mitigate the perceived risk. The fear likely stems from a lack of understanding regarding transmission and protective measures for tuberculosis, which requires specific education to overcome.
Choice B rationale
Informing the spouse that precautions protect other clients is true but does not alleviate the spouse's personal fear of contracting the disease. The spouse's primary concern is self-preservation and protecting themselves from potential infection, which needs to be directly addressed by demonstrating safety protocols.
Choice C rationale
This action directly empowers the spouse by providing concrete education and demonstration of proper isolation techniques. Understanding and practicing these precautions, such as donning and doffing personal protective equipment and hand hygiene, significantly reduces perceived and actual transmission risk, promoting a sense of safety and control.
Choice D rationale
Stating that the spouse has already been exposed can be misleading and may not be entirely accurate, as exposure does not guarantee infection. Furthermore, it dismisses the spouse's valid anxieties about active disease transmission from a hospitalized individual, potentially fostering mistrust rather than alleviating fear and encouraging visits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["440"]
Explanation
Step 1: Convert pounds to kilograms. 72.6 lb ÷ (2.2 lb/1 kg) = 33 kg.
Step 2: Calculate the lower end of the daily dosage range in milligrams. 20 mg/kg/day × 33 kg = 660 mg/day.
Step 3: Calculate the upper end of the daily dosage range in milligrams. 40 mg/kg/day × 33 kg = 1320 mg/day.
Step 4: Calculate the lower end of the single-dose range in milligrams. 660 mg/day ÷ 3 doses/day = 220 mg/dose.
Step 5: Calculate the upper end of the single-dose range in milligrams. 1320 mg/day ÷ 3 doses/day = 440 mg/dose. The single-dose range for this child is 220 mg to 440 mg.
Correct Answer is A
Explanation
Choice A rationale
Room temperature water is optimal for hydration in asthmatic children because it is less likely to trigger bronchospasm. Cold fluids can irritate the sensitive airways and cause constriction of the smooth muscles surrounding the bronchioles, exacerbating respiratory symptoms in individuals with reactive airways like asthmatics.
Choice B rationale
Carbonated beverages are generally not recommended for asthmatic children. The carbonation can cause bloating and discomfort, potentially leading to increased pressure on the diaphragm and exacerbating breathing difficulties. Additionally, the sugars and artificial ingredients in some carbonated drinks may not be ideal for overall health.
Choice C rationale
Iced fruit juice, similar to other cold beverages, can induce bronchospasm in susceptible individuals with asthma. The cold temperature can trigger airway hyperreactivity, leading to narrowing of the airways and worsening of asthmatic symptoms. Therefore, it is best to avoid very cold drinks.
Choice D rationale
Cold milk, like other cold beverages, can potentially trigger bronchoconstriction in asthmatic children due as it can irritate sensitive airways. Furthermore, some individuals with asthma may have co-existing milk allergies or sensitivities that can exacerbate respiratory symptoms, making it a less optimal choice.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.