A nurse is planning care for a patient who has been admitted due to severe coughing, night sweats, and blood in the sputum.
What precautions should the nurse take?
Wear a surgical mask when entering the patient’s room.
Place the patient in a negative-pressure airflow room.
Keep a container for soiled linens outside the patient’s door.
Remain within 3 feet of the patient.
The Correct Answer is B
Choice A rationale
Wearing a surgical mask when entering the patient’s room is a standard precaution for all healthcare workers, but it may not be sufficient for a patient with severe coughing, night sweats, and blood in the sputum. These symptoms could indicate a contagious disease such as tuberculosis, which requires airborne precautions.
Choice B rationale
Placing the patient in a negative-pressure airflow room is the correct action. This type of room is used for patients who may have airborne infectious diseases. The negative pressure prevents airborne pathogens from escaping the room and infecting others.
Choice C rationale
Keeping a container for soiled linens outside the patient’s door is not the most appropriate action in this situation. While it is important to handle soiled linens properly to prevent the spread of infection, it does not address the potential airborne transmission of pathogens.
Choice D rationale
Remaining within 3 feet of the patient is not the most appropriate action in this situation. If the patient has an airborne infectious disease, healthcare workers should minimize close contact to prevent exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Metoprolol is a beta-blocker that affects the heart and circulation. It does not typically cause elevated blood glucose levels.
Choice B rationale
Metoprolol is used to treat high blood pressure, not increase it. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure.
Choice C rationale
Metoprolol does not typically reduce bronchospasms. In fact, it can sometimes cause breathing problems such as shortness of breath, cough, and wheezing.
Choice D rationale
Metoprolol is known to lower heart rate. This is one of the ways it helps to reduce blood pressure and relieve strains on the heart.
Correct Answer is A
Explanation
Choice A.
Choice A rationale
A platelet count of 60,000/mm is significantly lower than the normal range of 150,000 to 400,000/mm. Platelets are crucial for blood clotting, and a low count can increase the risk of bleeding, which is a serious concern for a patient scheduled for a liver biopsy. Therefore, the nurse should report this value to the provider.
Choice B rationale
An ammonia level of 55 mcg/dL falls within the normal range of 10 to 80 mcg/dL1. Ammonia is a byproduct of protein metabolism and is converted to urea in the liver for excretion. Normal levels do not typically pose a concern for liver biopsy.
Choice C rationale
Aspartate aminotransferase (AST) is an enzyme found in various tissues, including the liver. An AST level of 34 units/L is at the upper limit of the normal range (0 to 34 units/L)1. While it’s
important to monitor, it does not necessarily need to be reported to the provider before a liver biopsy if there are no other signs of liver disease.
Choice D rationale
A bilirubin level of 1.0 mg/dL is within the normal range (0.3 to 1.0 mg/dL)1. Bilirubin is a waste product from the breakdown of red blood cells and is processed by the liver. Normal levels indicate that the liver is functioning properly in this regard.
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