A nurse is preparing to transport a patient with active tuberculosis (TB) to another department for a diagnostic procedure. Which of the following infection control precautions should the nurse implement?

Have the nurse wear an N95 respirator during transport.

Use a standard wheelchair with no additional precautions.

Have the patient wear a surgical mask during transport.

Place the patient in a negative-pressure isolation room during transport

Answer and Explanation

The Correct Answer is C

A. Have the nurse wear an N95 respirator during transport. While the nurse should wear an N95 respirator when providing direct care to a patient with TB in a hospital room, the focus during transport is on preventing airborne transmission from the patient to others.

B. Use a standard wheelchair with no additional precautions. Standard precautions are not sufficient for airborne diseases like TB. Without proper precautions, the patient may spread Mycobacterium tuberculosis to others during transport.

C. Have the patient wear a surgical mask during transport. A surgical mask on the patient helps contain respiratory droplets and prevents the spread of TB during transport. This is the standard precaution for transporting patients with airborne infections.

D. Place the patient in a negative-pressure isolation room during transport. Negative-pressure isolation rooms are used for patients while they are in the hospital room, not during transport. Negative pressure cannot be maintained in an open environment.

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Correct Answer is A

Explanation

A. Stage I. A Stage I pressure ulcer is characterized by intact skin with non-blanchable erythema. The affected area may feel warmer or firmer than surrounding skin.

B. Stage II. A Stage II pressure ulcer involves partial-thickness skin loss, often presenting as a shallow open ulcer or intact/blistered skin. Since the skin is still intact in this scenario, it is not Stage II.

C. Stage III. A Stage III pressure ulcer involves full-thickness skin loss with visible subcutaneous tissue but no exposed bone, tendon, or muscle. This does not match the description of an intact but reddened area.

D. Stage IV. A Stage IV pressure ulcer involves full-thickness tissue loss with exposed bone, tendon, or muscle. This is much more severe than the described case.

A. "Allopurinol helps to lower uric acid levels and prevent future gout attacks." B. “I should take allopurinol during an acute gout attack to relieve pain immediately." C. “I should avoid drinking water while taking allopurinol to prevent kidney stones." D. "Allopurinol works by reducing inflammation in my joints during a flare-up."

Correct Answer is A

Explanation

A. "Allopurinol helps to lower uric acid levels and prevent future gout attacks." Allopurinol is a xanthine oxidase inhibitor that decreases uric acid production, helping to prevent future gout attacks rather than treating acute flares.

B. “I should take allopurinol during an acute gout attack to relieve pain immediately." Allopurinol is not used for acute gout attacks because it does not have immediate pain-relieving or anti-inflammatory effects. In fact, starting or increasing allopurinol during an acute attack may worsen symptoms.

C. “I should avoid drinking water while taking allopurinol to prevent kidney stones." Adequate hydration is essential while taking allopurinol to prevent uric acid kidney stones and to help eliminate excess uric acid from the body.

D. "Allopurinol works by reducing inflammation in my joints during a flare-up." Allopurinol does not have anti-inflammatory properties. It lowers uric acid levels over time, reducing the risk of future gout attacks but not treating acute inflammation.

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A nurse is preparing to transport a patient with active tuberculosis (TB) to another department for a diagnostic procedure. Which of the following infection control precautions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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