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 B
Explanation
This statement demonstrates an understanding of the concept of spacing out immunizations to reduce the number of shots given during a single visit. By making multiple office visits, the parent can ensure that their child receives the recommended immunizations while minimizing the number of injections at each visit.
Lactose intolerance is not a contraindication to receiving immunizations. Most vaccines do not contain lactose, and even if they do, the amount present is typically minimal and not expected to cause an adverse reaction in individuals with lactose intolerance.
The first flu immunization is typically recommended for children starting at 6 months of age, not at 6 years of age.
The human papillomavirus (HPV) vaccine is typically recommended for preteens and adolescents, usually starting between the ages of 11 and 12. It is not typically administered when a child enters kindergarten.
Correct Answer is A
Explanation
Choice A Reason:
Believing that bad behavior is causing a sibling's death is a specific concern that some children may have.
Choice B Reason:
Believes that his brother's death will be reversible is incorrect. This is common among children wsho are 3-5 years old.
Choice C Reason:
Alienating oneself from peers can happen as a coping mechanism for some children, but it is not the expected response for all school-age siblings.
Choice D Reason:
Regressing to an earlier developmental level can occur in response to stress, but it is not the expected response for all school-age siblings and may not happen in every case.
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