A nurse is admitting a client who has active tuberculosis. Which of the following nursing interventions is appropriate?

Place the client in a room that is ventilated to the outside.

Wear a gown when delivering the client's food tray.

Prohibit visitors while the client's infection is active.

Administer a tuberculin skin test prior to discharge.

Answer and Explanation

The Correct Answer is A

A.   Place the client in a room that is ventilated to the outside: Clients with active tuberculosis should be placed in negative pressure rooms with air exhausted directly to the outside to prevent the spread of airborne pathogens.
B.   Wear a gown when delivering the client's food tray: Gowns are not typically necessary for routine care of clients with tuberculosis unless there is potential for contact with respiratory secretions.
C.   Prohibit visitors while the client's infection is active: Visitors should be educated about tuberculosis precautions and provided with appropriate personal protective equipment if necessary, but prohibiting visitors may not be necessary.
D.   Administer a tuberculin skin test prior to discharge: Tuberculin skin testing is used for screening and diagnosis of tuberculosis infection, not for management of active tuberculosis.

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Correct Answer is ["A","B","E"]

Explanation

A. Insulin aspart: Insulin aspart is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection.
B. Regular Insulin: Regular insulin is a short-acting insulin that can be mixed with intermediateacting insulins, such as NPH insulin, to provide both short and intermediate-acting coverage in a single injection.
C. Insulin glargine: Insulin glargine is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
D. Insulin detemir: Insulin detemir is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
E. Insulin lispro: Insulin lispro is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection

A. Draws up regular insulin before NPH when demonstrating injection technique B. Says that he will see a primary care provider to treat corns on his feet C. States that he will treat hypoglycemic reactions with 15 g of carbohydrates D. Lists sweating, shaking, and palpitations as symptoms of hyperglycemia E. None F. None

Correct Answer is D

Explanation

A: Drawing up regular insulin before NPH is the correct technique, as regular insulin is short-acting and NPH is intermediate-acting. Mixing insulins should be done in a specific order to prevent contamination or altering the action of the insulins.
B: Seeing a primary care provider for foot care is appropriate for a person with diabetes. Foot care is essential due to the high risk of foot problems in diabetes, and a primary care provider can offer appropriate treatment and guidance.
C: Treating hypoglycemic reactions with 15 g of carbohydrates is the recommended initial treatment. This quick-acting source of sugar helps to raise blood glucose levels efficiently during a hypoglycemic episode.
D: Listing sweating, shaking, and palpitations as symptoms is incorrect for hyperglycemia; these are symptoms of hypoglycemia. Hyperglycemia symptoms include frequent urination, increased thirst, and blurred vision. This indicates a lack of understanding of the difference between hyperglycemia and hypoglycemia, which is crucial for managing diabetes.

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A nurse is admitting a client who has active tuberculosis. Which of the following nursing interventions is appropriate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","E"]

Explanation

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Correct Answer is D

Explanation

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