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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will discard the syringes in a metal container." - Using a heavy-duty metal or hard plastic container with a tight-fitting, puncture-proof lid is a proper method for disposing of used syringes. This reduces the risk of needle sticks and prevents others from accessing the used sharps.
B. "I will wear gloves when I discard the syringes." - While wearing gloves during disposal can be a good practice for personal protection, the primary focus should be on the proper containment and disposal of used syringes.
C. "I will take containers of used syringes to the local recycling center." - Used syringes are considered biohazardous waste and should not be disposed of in regular recycling centers. They require special handling and disposal to prevent the risk of injury or contamination.
D. "I will store used syringes in a biohazard bag before discarding." - Biohazard bags are not typically used for the disposal of sharps. A puncture-proof container is the recommended method for sharps disposal.
Correct Answer is B
Explanation
A. "Family members should provide financial assistance during times of increased gambling."
Providing financial assistance during times of increased gambling can enable and worsen the gambling disorder. It is important for family members to establish boundaries and encourage responsible behavior rather than enabling the addiction.
B. "Gambling behaviors can increase during times of stress."
Explanation: This statement demonstrates an understanding of the fact that stress can contribute to increased gambling behaviors, which is a characteristic feature of gambling disorders. Stressors in a person's life may exacerbate or trigger problematic gambling habits.
C. "There is no genetic link to an increased risk for a gambling disorder."
There is evidence suggesting a genetic predisposition to gambling disorders. Individuals with a family history of gambling disorders may be at a higher risk, indicating a genetic link.
D. "A person must gamble at least four to six times per month to have a gambling disorder."
The frequency of gambling is not the only criterion for diagnosing a gambling disorder. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) outlines specific criteria, including loss of control, preoccupation with gambling, and negative consequences, to determine the presence of a gambling disorder. The frequency mentioned in the statement is not accurate for diagnosis.
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