A nurse is planning to admit a client who has hyperthyroidism. To which of the following rooms should the nurse assign this client?
A room with a laminar airflow filtration system
A room with a cool temperature
A room that has a private bathroom
A room near the nurses station
The Correct Answer is B
A. A room with a laminar airflow filtration system: Laminar airflow rooms are designed for clients who are immunocompromised to reduce exposure to airborne pathogens. Clients with hyperthyroidism do not require this level of infection control, so this room type is unnecessary.
B. A room with a cool temperature: Hyperthyroidism increases the client’s metabolic rate, which can lead to heat intolerance and excessive sweating. Assigning a room with a cooler temperature helps maintain comfort and prevent overheating, making it the most appropriate choice for this client.
C. A room that has a private bathroom: While a private bathroom may be convenient for some clients, it is not specifically necessary for hyperthyroidism. The client’s primary needs relate to temperature control and symptom management rather than isolation or frequent toileting.
D. A room near the nurses’ station: Proximity to the nurses’ station is helpful for clients requiring close monitoring, but a client with stable hyperthyroidism does not typically need continuous observation. Room placement near the station is not the priority compared to maintaining a comfortable ambient temperature.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Varicella zoster: Varicella (chickenpox) is transmitted via airborne and contact routes. Airborne precautions with a negative-pressure room are required, not droplet precautions.
B. Vancomycin-resistant enterococcus (VRE): VRE is primarily spread via contact with contaminated surfaces or hands. Contact precautions are indicated, rather than droplet precautions.
C. Pertussis: Pertussis (whooping cough) is transmitted via respiratory droplets. Droplet precautions, including a mask for close contact, are essential to prevent spread to healthcare personnel and other clients.
D. Rotavirus: Rotavirus is transmitted primarily via the fecal-oral route. Contact precautions are necessary to prevent spread, not droplet precautions.
Correct Answer is B
Explanation
A. Provide a flexible activity schedule: Clients experiencing acute mania often have high energy levels and may be unable to follow a flexible or self-directed schedule. Structured, brief, and supervised activities are more effective than a flexible schedule in managing behavior and ensuring safety.
B. Provide high-calorie nutritional supplements: Clients in acute mania may be too hyperactive or distracted to consume adequate meals. Offering high-calorie supplements helps prevent malnutrition and weight loss by providing concentrated nutrition in a format that is easier for the client to consume amidst hyperactivity.
C. Allow the client to eat meals alone in her room: Eating alone may increase the risk of inadequate intake because manic clients can be easily distracted or forget to eat. Supervised meals in a calm environment promote adequate nutrition and monitoring of intake.
D. Allow the client to choose her clothes independently: While promoting autonomy is generally important, clients in acute mania may select inappropriate or unsafe clothing due to impaired judgment. Providing guidance or limiting choices temporarily ensures safety and appropriateness of dress.
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