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 C

Explanation

A. Vitamin C: While a vegan diet may limit sources of vitamin C, it is typically abundant in fruits and vegetables, so deficiency is less likely.
B. Potassium: Potassium deficiency is not typically associated with a vegan diet, as plant-based foods such as fruits, vegetables, legumes, and nuts are good sources of potassium.
C. Vitamin D: Vitamin D is primarily found in animal products, so individuals following a vegan diet may be at risk of deficiency unless they consume fortified foods or supplements.
D. Magnesium: While magnesium deficiency can occur in anyone with an inadequate intake of magnesium-rich foods, it's not necessarily more common in vegans compared to omnivores.

A. Affected extremity warm to touch B. Moderate pain on the ankle of the affected extremity C. Blanch time of 2 seconds in the toenail beds of the affected extremity D. Palpation of a 1 dorsal pedal pulse of the affected extremity

Correct Answer is D

Explanation

A. A warm extremity is not typically associated with compartment syndrome. Compartment syndrome may present with coolness due to compromised circulation.

B. Moderate pain on the ankle may be present in compartment syndrome due to increased pressure within the compartment, but it is not a specific manifestation.
C. Blanch time of 2 seconds in the toenail beds indicates normal capillary refill, which is not consistent with compartment syndrome. In compartment syndrome, capillary refill may be delayed.
D. Palpation of a weak or absent dorsalis pedis pulse is a concerning finding indicative of compromised circulation, a hallmark sign of compartment syndrome.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child whose family adheres to a vegan diet in the home.The nurse should recognize the child is at risk of deficiency of which of the following?

Correct Answer is C

Explanation

A nurse is collecting data on a client who has swelling of the lower leg. The nurse should identify that which of the following findings is a manifestation of compartment syndrome?

Correct Answer is D

Explanation

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