A nurse is teaching a client who has tuberculosis about infection control with her family at home. Which of the following instructions should the nurse include?
"Make sure family members wear masks whenever they are in the same room as you."
"Return to work after two consecutive sputum cultures are negative."
"Before coughing or sneezing, cover your mouth and nose with a tissue."
"Wear a high-filtration mask at home when family members are nearby."
The Correct Answer is C
Rationale:
A. "Make sure family members wear masks whenever they are in the same room as you."
Masks are mainly recommended for the client with tuberculosis, not family members unless they are at high risk. The focus should be on good hygiene and cough etiquette.
B. "Return to work after two consecutive sputum cultures are negative." While negative sputum cultures are important, returning to work depends on completing the full treatment regimen and clinical improvement. Full treatment is essential for transmission control.
C. "Before coughing or sneezing, cover your mouth and nose with a tissue." This is the correct advice to prevent the spread of tuberculosis. Covering the mouth and nose with a tissue when coughing or sneezing helps contain respiratory droplets and protect others.
D. "Wear a high-filtration mask at home when family members are nearby." Wearing a high-filtration mask is generally necessary for healthcare settings. At home, focus should be on cough etiquette, good ventilation, and completing prescribed treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Limit engaging in sport activities that can cause bruising: While it's important to avoid activities that increase the risk of injury, this is not a specific related to radiation therapy. The nurse should focus on such as avoiding infection or exposure to certain environments.
B. Limit socializing in large crowds: This is an important for clients undergoing radiation therapy, especially if their immune system is compromised. Socializing in large crowds increases the risk of exposure to infections..
C. Decrease intake of fresh fruits or vegetables: While radiation therapy can affect the immune system, it doesn't typically cause the level of systemic neutropenia that would warrant this strict dietary restriction unless combined with other treatments.
D. Decrease time spent outdoors: Decreasing time spent outdoors is not a standard recommendation for clients undergoing radiation therapy unless they are directly exposed to the sun. Clients should protect their skin from sun exposure but should not avoid outdoor activities altogether.
Correct Answer is D
Explanation
Rationale:
A. "You should use an incentive spirometer every 8 hours." Using an incentive spirometer is important for preventing respiratory complications, but the recommendation should be to use it every 1-2 hours while awake, not just every 8 hours.
B. "Clean the incision daily with hydrogen peroxide." Hydrogen peroxide is too harsh for wound care and can delay healing by damaging new tissue. The incision should be cleaned with mild soap and water or as directed by the healthcare provider.
C. "You can cross your legs at the ankles when sitting down." After a hip replacement, clients should avoid crossing their legs, especially at the knees, to prevent dislocation of the new hip joint.
D. "Install a raised toilet seat in your bathroom." After hip replacement surgery, the client should avoid bending the hip beyond 90 degrees to reduce the risk of dislocation. Installing a raised toilet seat helps the client maintain proper positioning and avoid hip flexion beyond the recommended limit.
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