A nurse is assisting a charge nurse with room assignments.
There is one private room available on the unit to accommodate a client who needs airborne precautions.Which client should be assigned to this room?
A client who has community-acquired pneumonia with copious respiratory secretions
A client who has AIDS and is coughing up blood
A client who has Guillain-Barré syndrome and is on a ventilator
A client who has bronchitis and a tracheostomy
The Correct Answer is A
Choice A rationale
A client who has community-acquired pneumonia with copious respiratory secretions should be assigned to the private room. This is because pneumonia, especially with copious respiratory secretions, can be transmitted through the air, and therefore requires airborne precautions.
Choice B rationale
A client who has AIDS and is coughing up blood may not necessarily require a private room for airborne precautions. While AIDS is a serious condition, it is not primarily transmitted through the air. Instead, it is transmitted through direct contact with bodily fluids, particularly blood, semen, vaginal fluids, and breast milk.
Choice C rationale
A client who has Guillain-Barré syndrome and is on a ventilator would not necessarily require a private room for airborne precautions. Guillain-Barré syndrome is a neurological disorder, not an infectious disease, and it is not transmitted from person to person.
Choice D rationale
A client who has bronchitis and a tracheostomy may not necessarily require a private room for airborne precautions. While bronchitis can be caused by an infection, it is typically transmitted through direct contact or droplet transmission, not through the air.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Skim milk is not acceptable for a client on a clear liquid diet. Clear liquid diets only include liquids that you can see through, and milk is not a clear liquid.
Choice B rationale
Carrot juice is not acceptable for a client on a clear liquid diet. While it is a liquid, it is not clear, and therefore does not meet the criteria for a clear liquid diet.
Choice C rationale
Grape juice is acceptable for a client on a clear liquid diet, as long as it is without pulp. Clear fruit juices are typically included in a clear liquid diet.
Choice D rationale
Chicken broth is acceptable for a client on a clear liquid diet. Broths are clear liquids and are often included in a clear liquid diet to provide some savory flavor.
Correct Answer is B
Explanation
Choice A rationale
Withholding the medication until the prescribing provider is available could potentially put the patient at risk, especially if the medication is critical for the patient’s health and well-being.
Choice B rationale
Requesting to speak with the provider who is covering for the prescriber is the most appropriate action in this situation. This allows the nurse to clarify the prescription and ensure the safety of the patient.
Choice C rationale
Contacting the pharmacy to confirm that the dosage is safe to administer could be a part of the process, but it should not be the first step. The nurse should first contact a healthcare provider to discuss the prescription.
Choice D rationale
Informing the charge nurse and administering the usual dose of the medication without first consulting with a healthcare provider could potentially put the patient at risk.
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