A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?

The nurse should administer a total 1320ml sodium chloride in the first hour, 880ml each subsequent hour.

Rationale

First Hour Administration

Rate: 15 ml/kg/hr Client's weight: 88 kg

Calculation: 15 ml/kg/hr × 88 kg= 1320ml/hr

Therefore, in the first hour, the nurse should administer 1320 mL of 0.9% sodium chloride.

Subsequent Hour Administration

Rate: 10 ml/kg/hr Client's weight: 88 kg

Calculation: 10 ml/kg/hr × 88kg= 880mls

Therefore, each subsequent hour after the first, the nurse should administer 880 mL of 0.9% sodium chloride.

A Pertussis is highly contagious and spread through respiratory droplets. Wearing a surgical mask when providing care to the client helps prevent the spread of the bacteria to others in the healthcare setting. This is a standard precaution to minimize transmission of respiratory infections.

B. A Mantoux test, or tuberculin skin test, is used to detect tuberculosis (TB) infection, not pertussis. It is not relevant to the diagnosis or management of pertussis. The focus should be on clinical assessment and appropriate treatment for pertussis.

C Pertussis does not typically require isolation in a negative pressure airflow room. Standard precautions, including wearing a surgical mask, are generally sufficient to prevent transmission. Negative pressure rooms are typically reserved for airborne infections like tuberculosis or measles.

D. Pertussis is caused by a bacterial infection (Bordetella pertussis), not a virus. Antiviral therapy is not effective against bacterial infections such as pertussis. Family members and close contacts of the client should receive prophylactic antibiotics to prevent spread of the infection, not antiviral therapy.