A nurse is preparing for the admission of a client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?
Have staff and visitors wear gowns, masks, and gloves while in the client's room.
Modify the protocol for donning and removing personal protective equipment before entering or leaving the client's room.
Assign the client to a room with other clients who require droplet precautions.
Place the client in a private room with a special ventilation system.
The Correct Answer is D
A. Gowns and gloves are not required for TB precautions; a mask is necessary to protect against airborne transmission.
B. Standard protocols for personal protective equipment (PPE) should be followed, but they do not specifically address the need for specialized precautions in TB care.
C. Clients with TB should not be placed in a room with others, even those requiring droplet precautions, due to the risk of airborne transmission.
D. A private room with a special ventilation system, such as negative pressure, is essential for isolating clients with active TB to prevent airborne transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Eyelets not being visible may be a normal finding, as they can be covered by the dressing. This is not necessarily indicative of a problem with the chest tube.
B. Crepitus, or subcutaneous emphysema, is concerning and should be monitored but is not immediately life-threatening compared to other signs of complications.
C. Bubbling in the water seal chamber with exhalation is expected and indicates that the chest tube is functioning correctly. Continuous bubbling, however, may suggest an air leak.
D. Movement of the trachea toward the unaffected side is indicative of a mediastinal shift, which can occur due to tension pneumothorax or other significant complications. This is an urgent condition that requires immediate provider notification and intervention.
Correct Answer is B
Explanation
A. Drinking 8 cups of liquid daily is a correct measure to help flush out bacteria and prevent UTIs.
B. Wiping from back to front can increase the risk of transferring bacteria from the rectal area to the urethra; the correct practice is to wipe from front to back.
C. Regular and complete bladder emptying helps reduce the risk of bacterial growth in the urinary tract.
D. Drinking apple cider vinegar is not a standard recommendation for preventing UTIs; more evidence-based practices should be emphasized.
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