A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?

A. Perform a Mantoux skin test on the client:
The Mantoux skin test is used to screen for tuberculosis, not pertussis. It would not be relevant for diagnosing or managing pertussis. The priority is to assess and manage respiratory symptoms and infection control measures specific to pertussis.

B. Wear a surgical mask when providing care to the client:
Wearing a surgical mask is appropriate for providing care to a client with pertussis. Pertussis is spread through respiratory droplets, and wearing a surgical mask can help reduce the transmission of the bacteria to healthcare workers and other patients. It is a key measure in infection control.

C. Recommend that the client's family members receive antiviral therapy:
Pertussis is caused by the bacterium Bordetella pertussis, and antibiotics, not antiviral medications, are used to treat it. Family members or close contacts may receive prophylactic antibiotics to prevent the spread of the infection, but antiviral therapy is not indicated.

D. Assign the client to a negative-pressure airflow room:
Negative-pressure rooms are typically used for airborne diseases like tuberculosis or measles, not for pertussis. Pertussis is spread through respiratory droplets, and standard droplet precautions, including wearing surgical masks, are sufficient for preventing its spread. Negative-pressure isolation is not required.

A) Use chemical restraints at bedtime:
Using chemical restraints is not an appropriate or preferred intervention for managing wandering in clients with dementia. These medications can have significant side effects and do not address the underlying causes of wandering. Non-pharmacological strategies are generally recommended first.

B) Use a bed alarm:
A bed alarm is a suitable intervention for monitoring a client with a history of wandering. It can alert staff if the client attempts to leave the bed, thereby preventing falls or wandering. This intervention helps maintain safety without the use of restraints or excessive stimulation.

C) Move client to a double room:
Moving the client to a double room does not directly address the issue of wandering and may not improve safety or prevent wandering. Room changes should be based on the client's overall care needs and not solely on managing wandering.

D) Encourage participation in activities that provide excessive stimulation:
Encouraging excessive stimulation can lead to confusion and agitation in clients with dementia, potentially worsening wandering behavior. Instead, activities should be tailored to the client’s cognitive abilities and preferences to provide appropriate engagement without overstimulation.