A nurse is caring for a client with active tuberculosis. Which of the following intervention are appropriate for this client?

Wear a HEPA/N95 mask while providing care to the client

Instruct the nursing assistant to wear a surgical mask when entering the client's room

Ensure the client a in a positive pressure room

Have the client wear a HEPA/N95 mask when outside of their room

Answer and Explanation

The Correct Answer is A

A) Wear a HEPA/N95 mask while providing care to the client:
Tuberculosis (TB) is a highly contagious airborne disease, and healthcare workers caring for patients with active TB must wear a HEPA/N95 mask to protect themselves from inhaling the bacteria. These specialized masks filter out airborne particles, including Mycobacterium tuberculosis, which can be spread through droplets when the patient coughs, sneezes, or talks. Wearing an N95 mask is an essential part of airborne precautions in the care of TB patients.

B) Instruct the nursing assistant to wear a surgical mask when entering the client's room:
A surgical mask does not offer adequate protection against airborne pathogens like the tuberculosis bacteria. While surgical masks can block large droplets, they do not filter out smaller, airborne particles, such as those from TB. N95/HEPA masks are necessary for anyone entering the room of a patient with active tuberculosis, including nursing assistants, to ensure they are protected from inhaling infectious particles.

C) Ensure the client is in a positive pressure room:
A positive pressure room is typically used for patients who are immunocompromised, such as those with neutropenia or undergoing organ transplants, to prevent infection from the environment. However, negative pressure rooms are required for patients with airborne diseases like tuberculosis. A negative pressure room ensures that air flows into the room but does not leave, containing any airborne pathogens and preventing their spread to other areas of the facility.

D) Have the client wear a HEPA/N95 mask when outside of their room:
If the client with active tuberculosis needs to leave their room for medical procedures or testing, they should wear a HEPA/N95 mask to prevent spreading the bacteria to others through airborne transmission. This helps limit exposure to other individuals, as TB can be transmitted by airborne particles.

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Correct Answer is B

Explanation

A) "The procedure can help determine whether your stroke was caused by a clot or by bleeding": This statement is incorrect. An electroencephalogram (EEG) is a diagnostic test used to evaluate the electrical activity of the brain, not to assess stroke-related causes. To determine whether a stroke was caused by a clot or bleeding, imaging studies like a CT scan or MRI are typically used, not an EEG.

B) "The procedure can help identify which part of the brain seizure activity is coming from": This is the correct response. An EEG records electrical activity in the brain and is primarily used to diagnose and monitor conditions such as seizures, epilepsy, and sleep disorders. It can help pinpoint the area of the brain where abnormal electrical activity, such as that seen in seizures, is originating. This makes it an invaluable tool for understanding seizure disorders.

C) "The procedure helps evaluate nerve function to your extremities": This statement is inaccurate. An EEG does not assess nerve function to the extremities. Tests like nerve conduction studies or electromyography (EMG) are used to evaluate peripheral nerve function, whereas an EEG specifically measures electrical activity in the brain.

D) "The procedure shows images of your heart’s electrical activity": This statement is incorrect. An EEG measures brain electrical activity, not the heart's. To assess the heart's electrical activity, an electrocardiogram (ECG or EKG) is used. Therefore, an EEG and an ECG serve very different purposes.

Correct Answer is ["250"]

Explanation

Given:

Total volume to infuse: 250 mL

Infusion time: 60 minutes

To find:

Infusion rate (mL/hr)

Step 1: Calculate the infusion rate in mL/min

Infusion rate (mL/min) = Total volume / Infusion time

Infusion rate (mL/min) = 250 mL / 60 minutes = 4.17 mL/min

Step 2: Convert mL/min to mL/hr

Infusion rate (mL/hr) = Infusion rate (mL/min) x 60 minutes/hr

Infusion rate (mL/hr) = 4.17 mL/min x 60 minutes/hr = 250 mL/hr

Therefore, the nurse should set the pump to deliver 250 mL/hr.

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A nurse is caring for a client with active tuberculosis. Which of the following intervention are appropriate for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for an electroencephalogram (EEG). When the client asks what the purpose of the procedure is, what is the nurse's best response?

Correct Answer is B

Explanation

Correct Answer is ["250"]

Explanation

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