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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Administering an expectorant is not primarily aimed at preventing pulmonary complications but rather at helping to clear mucus. While this can be part of respiratory care, it does not address the prevention of complications like atelectasis or pneumonia.

B. Performing range-of-motion exercises is important for overall mobility and prevention of deep vein thrombosis but does not specifically address the prevention of pulmonary complications.

C. Placing suction equipment at the bedside is useful for managing secretions but does not directly prevent pulmonary complications. It is a reactive measure rather than preventive.

D. Encouraging the use of an incentive spirometer is an effective method to prevent pulmonary complications such as atelectasis and pneumonia. It helps improve lung function by promoting deep breathing and expanding the alveoli.

A. Pain severity B. Wound drainage C. Tissue integrity D. Airway patency

Correct Answer is D

Explanation

A. Pain severity is important to assess but is secondary to ensuring the client's airway is clear and unobstructed.
B. Wound drainage is relevant for detecting potential complications but is not as critical as ensuring airway patency.
C. Tissue integrity is important for wound healing but does not take precedence over checking the airway immediately after surgery.
D. Airway patency is the priority assessment because a partial laryngectomy involves the airway, and ensuring it is open and functioning is crucial for adequate breathing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

Correct Answer is D

Explanation

A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first?

Correct Answer is D

Explanation

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