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.
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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Related Questions
Correct Answer is A
Explanation
A. Correct. Neostigmine is an acetylcholinesterase inhibitor that improves muscle strength by increasing the availability of acetylcholine at the neuromuscular junction, thereby enhancing muscle contraction.
B. Incorrect. Neostigmine does not destroy the antibodies that cause MG. MG is an autoimmune disorder characterized by antibodies that block or destroy acetylcholine receptors, leading to muscle weakness.
C. Incorrect. Neostigmine does not enhance immune system function. It works specifically on the neuromuscular junction to improve muscle strength in MG.
D. Incorrect. While neostigmine may indirectly help prevent excessive coughing by improving respiratory muscle strength in clients with MG, preventing coughing is not its primary action.
Correct Answer is C
Explanation
A. Applying a topical corticosteroid ointment to the scalp is not indicated for treating Pediculosis humanus capitis. Corticosteroids are used to reduce inflammation and itching associated with certain skin conditions but are not effective against lice.
B. Soaking hair brushes and combs in soapy water may help to remove any lice or nits attached to them, but it is not sufficient as the sole treatment for Pediculosis humanus capitis.
C. Washing the bed linens in hot water is crucial for killing any lice or nits that may be present on them. Heat is effective in killing lice and their eggs, thus reducing the risk of reinfestation.
D. Cleaning the child's toys with a 1:10 bleach solution may disinfect them, but it is not a primary treatment for Pediculosis humanus capitis. The focus should be on eliminating lice and nits from the environment where the child sleeps and spends time.
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