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 C
Explanation
Choice A rationale
Storing extra blankets in a box on the steps is not a safe practice for a client who has just returned home after a total hip arthroplasty. This could increase the risk of falls, which is a major concern after hip surgery.
Choice B rationale
Keeping pot handles turned towards the edge of the stove is not a safe practice. It increases the risk of spills and burns. Pot handles should always be turned towards the back of the stove to prevent accidents.
Choice C rationale
Placing electrical cords against the wall is a safe practice. It reduces the risk of tripping over the cords, which is especially important for a client who is recovering from a total hip arthroplasty.
Choice D rationale
Placing a throw rug next to the bathtub is not a safe practice. Throw rugs can easily slip and cause falls. A non-slip mat should be used instead.
Correct Answer is C
Explanation
Choice A rationale
Unscrewing the pins to clean the pin sites is not recommended. This could lead to infection and disrupt the traction.
Choice B rationale
Loosening the rope knots holding the weights for 30 minutes if the patient reports pain is not recommended. The weights provide the necessary force to align and immobilize the body part and should not be removed.
Choice C rationale
Ensuring that at least 4.5 kg (10 lb) of weight is applied to the patient’s traction is a correct action. The amount of weight applied must be sufficient to provide the necessary force for alignment.
Choice D rationale
Removing the weights while turning the patient in bed is not recommended. The weights must remain in place to maintain the therapeutic effect of the traction.
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