A community health nurse is caring for a client who has laryngeal tuberculosis. Which of the following isolation precautions should the nurse recommend for this client?
Airborne precautions
Contact precautions
Protective environment
Droplet precautions
The Correct Answer is A
A. Airborne precautions.
Explanation: Tuberculosis is primarily transmitted through the airborne route when an infected person coughs, sneezes, or talks, releasing droplets containing the bacteria into the air. Airborne precautions are designed to prevent the transmission of infectious agents that remain suspended in the air for long periods. This includes the use of specialized respiratory protection (such as N95 respirators) and placing the client in a negative pressure room.
B. Contact precautions.
Explanation: Contact precautions are used for diseases that are spread through direct or indirect contact with the patient or their environment. Tuberculosis is primarily an airborne disease, and contact precautions are not the most effective preventive measure.
C. Protective environment.
Explanation: Protective environment is typically used for immunocompromised patients, and it focuses on protecting the patient from environmental pathogens. It is not specifically indicated for preventing the transmission of tuberculosis.
D. Droplet precautions.
Explanation: Droplet precautions are used for diseases transmitted through respiratory droplets, but they are not the primary precautions for tuberculosis. Tuberculosis requires airborne precautions due to the smaller size and longer suspension time of the infectious particles.
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Related Questions
Correct Answer is C
Explanation
A. Ask for assistance from local spiritual leaders if there is a language barrier:
While engaging local spiritual leaders can be beneficial for understanding cultural nuances, addressing language barriers is a separate issue. Seeking assistance from interpreters or language services would be more appropriate for overcoming language barriers.
B. Collect all the data on the first visit with the workers:
Collecting all data on the first visit may be overwhelming and may not allow for the establishment of trust and rapport with the migrant workers. A more gradual and respectful approach to data collection is often advisable in cross-cultural nursing care.
C. Interview community leaders for a perspective of community life.
Interviewing community leaders provides valuable insights into the cultural context, norms, and values of the migrant workers. Community leaders often have a deep understanding of their community's dynamics, which can guide the nurse in providing culturally competent care.
D. Incorporate one's implicit bias into planned delivery of care:
This statement is not appropriate. Implicit bias should be recognized and actively addressed, rather than incorporated into care. Culturally competent care involves recognizing and challenging one's biases to ensure fair and equitable treatment for all individuals, regardless of their cultural background.
Correct Answer is D
Explanation
A. "If I choose palliative care, I can only go to the hospital if I stop breathing."
This statement is not accurate. Palliative care can be provided in various settings, including hospitals, and it does not mean the client can only receive care if in a life-threatening situation.
B. "I need to stop treatments for my cancer before beginning palliative care."
Palliative care can be integrated with ongoing curative treatments. It does not require the cessation of cancer treatments.
C. "If my oncologist recommends palliative care, it means that I have about 6 months or less to live."
Palliative care is not synonymous with hospice care, which typically involves end-of-life care for individuals with a prognosis of 6 months or less. Palliative care is appropriate at any stage of a serious illness and can be provided alongside treatments aimed at curing or controlling the disease.
D. "The purpose of palliative care is to provide comfort measures for cancer."
Palliative care focuses on providing relief from the symptoms and stress of a serious illness, such as cancer. It is not limited to end-of-life care and can be initiated alongside curative treatments.
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