A nurse is caring for a client.
Complete the following sentence by using the list of options.
The first two actions the nurse should take are
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.
Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The incentive spirometer is used to promote lung expansion and prevent atelectasis, not to prevent orthostatic hypotension.
B. Dangling the legs over the side of the bed before standing allows blood pressure to adjust gradually, reducing the risk of orthostatic hypotension.
C. Isometric exercises are beneficial for muscle strength but are not specifically helpful in preventing orthostatic hypotension immediately before standing.
D. Protein intake is essential for healing, but it does not directly prevent orthostatic hypotension.
Correct Answer is D
Explanation
A. Gathering personal belongings is appropriate for safekeeping or distribution to family members.
B. Closing the client’s eyes is part of respectful postmortem care.
C. Washing the client’s face is a standard part of preparing the body for viewing.
D. Dentures are typically left in place to maintain facial structure and present a natural appearance for family visitation.
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