A nurse is planning care for a client who has tuberculosis. Which of the following precautions should the nurse implement for this client?

Contact precautions

Protective environment precautions

Droplet precautions

Airborne precautions

Answer and Explanation

The Correct Answer is D

Rationale:
A. Contact precautions: Contact precautions are used for infections spread by direct or indirect contact, such as Clostridioides difficile or MRSA. Tuberculosis is transmitted through airborne particles, not contact.

B. Protective environment precautions: Protective environments are for immunocompromised clients, such as those undergoing stem cell transplants, to protect them from external infections. This does not apply to clients with active infections like tuberculosis.

C. Droplet precautions: Droplet precautions are used for infections spread through large respiratory droplets, like influenza or pertussis. Tuberculosis is spread via much smaller airborne particles that remain suspended in the air.

D. Airborne precautions: Airborne precautions are required for tuberculosis because it is spread through tiny airborne droplets. These precautions include placing the client in a negative pressure room and having staff wear an N95 respirator when entering the room.

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Correct Answer is C

Explanation

Rationale:
A. Fasting blood glucose 65 mg/dL (70 to 110 mg/dL): While slightly below the normal range, this mild hypoglycemia is not a typical adverse effect of cyclosporine. Cyclosporine is more commonly associated with nephrotoxicity, hypertension, and increased infection risk rather than altering glucose levels significantly.

B. RBC count 6.3/μL (4.7 to 6.1/μL): This value is slightly elevated but not clinically concerning and is not a known adverse effect of cyclosporine. The medication typically affects white blood cells and kidney function more than red cell production.

C. BUN 24 mg/dL (10 to 20 mg/dL): An elevated BUN level may indicate reduced kidney function, which is a common adverse effect of cyclosporine. This immunosuppressant is nephrotoxic and requires close monitoring of renal function through BUN and creatinine levels.

D. Alkaline Phosphatase (ALP) 25 units/L (30 to 120 units/L): This ALP level is slightly below normal but not typically associated with cyclosporine use. Cyclosporine does not usually cause significant changes in ALP unless there is liver involvement, which is less common than kidney-related complications.

A. The nurse provides wound care to a client at the time promised to the client. B. The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services. C. The nurse declines to inform a client's neighbor about the client's prognosis. D. The nurse files an incident report regarding a medication error.

Correct Answer is B

Explanation

Rationale:

A. The nurse provides wound care to a client at the time promised to the client: Providing care as scheduled reflects reliability and professionalism, but it does not involve speaking up for or securing specific services in the client's best interest, which defines advocacy.

B. The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services: This demonstrates advocacy by ensuring the client has access to specialized care that supports comfort, dignity, and symptom management—especially important in progressive, life-limiting illness.

C. The nurse declines to inform a client's neighbor about the client's prognosis: This action protects client confidentiality and privacy, which is ethically correct, but it does not represent active support or promotion of the client's needs or preferences.

D. The nurse files an incident report regarding a medication error: Filing an incident report supports patient safety and institutional accountability. However, it does not reflect direct advocacy, as it does not involve pursuing specific care or services for the client.

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A nurse is planning care for a client who has tuberculosis. Which of the following precautions should the nurse implement for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a male client who has a new prescription for cyclosporine following a kidney transplant. Which of the following findings should the nurse identify as an adverse effect of this therapy?

Correct Answer is C

Explanation

A nurse is caring for a group of clients. In which of the following scenarios is the nurse acting as a client advocate?

Correct Answer is B

Explanation

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