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 B
Explanation
Choice A rationale
Black and tarry stools (melena) typically indicate upper gastrointestinal bleeding, where digested blood causes the dark color. This is not a characteristic of steatorrhea, which is caused by the presence of undigested fat. Steatorrhea results from pancreatic enzyme insufficiency, a common feature of cystic fibrosis.
Choice B rationale
Steatorrheaic stools are classically described as frothy, foul-smelling, and fatty due to the malabsorption of fats. The lack of pancreatic lipase, a characteristic of cystic fibrosis, prevents proper fat digestion. This undigested fat is then excreted, leading to stools that are bulky, pale, and often float due to their high fat content.
Choice C rationale
Clay-colored stools are indicative of a lack of bile pigment, suggesting an obstruction of the bile ducts or liver dysfunction. While liver involvement can occur in cystic fibrosis, clay-colored stools are not the primary descriptor for steatorrhea resulting from pancreatic insufficiency.
Choice D rationale
Orange or green stools are not typical descriptions for steatorrhea. Orange stools can sometimes be due to certain medications or foods, while green stools can result from rapid transit through the digestive system, where bile has not had time to be fully broken down. Neither describes the characteristic appearance of fatty stools.
Correct Answer is ["250"]
Explanation
Step 1: Convert pounds to kilograms. 110 lb ÷ (2.2 lb/1 kg) = 50 kg.
Step 2: Calculate the total milligrams for the dose. 5 mg/kg/day × 50 kg = 250 mg/day. This patient will receive 250 mg for this dose.
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