A nurse is contributing to the plan of care for a client who was newly admitted and has tuberculosis. Which of the following actions should the nurse recommend Including in the plan of care?
Initiate contact precautions.
Increase the client's daily intake of vitamin D.
Perform tuberculin skin testing.
Place the client in a positive-pressure isolation room.
The Correct Answer is B
Choice A Reason:
Contact precautions are not sufficient for tuberculosis (TB), which is an airborne infection. Instead, airborne precautions should be initiated.
Choice B Reason:
Increasing the client's daily intake of vitamin D may be considered as a complementary measure to support the immune system.
Choice C Reason:
Performing tuberculin skin testing (TST) is a diagnostic test for TB but is typically not included in the plan of care for a newly admitted client with confirmed TB.
Choice D Reason:
Placing the client in a positive-pressure isolation room is not the recommended isolation method for clients with TB. Negative-pressure isolation rooms help prevent the spread of infectious airborne diseases like TB.
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Related Questions
Correct Answer is A
Explanation
Correct answer: A
a.This step is crucial because it helps maintain the sterility of the kit by ensuring that the nurse does not accidentally contaminate the sterile field with their body or clothing.This step ensures that the nurse's hands and arms do not cross over the sterile field, reducing the risk of contamination.
b.Opening the flap nearest to the nurse first can lead to contamination because the nurse's hands and arms might cross over the sterile field while opening the remaining flaps. This increases the risk of introducing pathogens into the sterile area, compromising the sterility required for the procedure.
c.Opening a side flap first can also compromise the sterility of the field. Similar to option (b), this action might result in the nurse's hands or arms moving over the sterile area, risking contamination.
d.Applying sterile gloves is an essential step in maintaining sterility, but it is not the first step. The nurse needs to prepare the sterile field before donning sterile gloves to ensure that the gloves themselves remain uncontaminated. If the nurse were to put on sterile gloves first, there is a risk of contaminating the gloves while opening the sterile kit, thereby defeating the purpose of using sterile gloves.
Correct Answer is D
Explanation
After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity. This is because during a seizure, the child's tongue may have been biten, or there may be other oral injuries. Therefore, it is essential to check the oral cavity for any injury or bleeding.
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