A nurse is assisting with planning care for a client who was admitted for reports of severe coughing, night sweats, and blood in the sputum. Which of the following precautions should the nurse take?
Place the client in a negative-pressure airflow room.
Wear a surgical mask when entering the client's room.
Have a container for soiled linens outside the client's door.
Remain within 91.4 cm (3 ft) of the client.
The Correct Answer is A
A. Place the client in a negative-pressure airflow room: This is correct as these symptoms are indicative of tuberculosis (TB), which requires airborne precautions. A negative-pressure room helps to prevent the spread of airborne pathogens.
B. Wear a surgical mask when entering the client's room: This is incorrect because a surgical mask does not provide adequate protection against airborne particles; an N95 respirator is necessary for airborne precautions.
C. Have a container for soiled linens outside the client's door: This is incorrect as soiled linens should be handled and disposed of within the room under appropriate infection control protocols, not just placed outside.
D. Remain within 91.4 cm (3 ft) of the client: This is incorrect as maintaining this distance does not prevent the spread of airborne diseases. Proper airborne precautions, including the use of personal protective equipment, are necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
• Desired dose: 25 mg
• Available concentration: 12.5 mg/5 mL
• To find the volume to administer, we can use the formula:
• Volume to administer (mL) = Desired dose (mg) / Concentration (mg/mL)
• First, we need to find the concentration in mg/mL:
• Concentration = 12.5 mg / 5 mL = 2.5 mg/mL
• Now, we can calculate the volume:
• Volume to administer = 25 mg / 2.5 mg/mL = 10 mL
Correct Answer is C
Explanation
A. Clean the client's finger with hexachlorophene: Hexachlorophene is not recommended for cleaning the skin before blood glucose testing; a mild soap and water or an alcohol swab is typically used.
B. Apply the first drop of blood to the test strip: The first drop of blood is often not used due to potential contamination; the nurse should usually wipe away the first drop and use the second one.
C. Hold the client's finger in a dependent position: This is correct as holding the finger downward can help increase blood flow to the fingertip, facilitating easier blood collection.
D. Prick the central tip of the client's finger: Pricking the central tip can be painful; the sides of the fingertip are preferred for less discomfort and to avoid nerve endings.
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