A nurse is working in a walk-in clinic. She has been alerted that there's an outbreak of tuberculosis (TB). Which client entering the clinic today is most likely to have TB?

A 16-year old female high school student

A 54 year old businessman

A 43-year old homeless man with a history of alcoholism

Answer and Explanation

The Correct Answer is D

A. A 16-year-old female high school student: While TB can affect people of any age, high school students are generally not considered a high-risk group unless they have known exposure or immunosuppression. Routine exposure in school settings is relatively low.

B. A 54-year-old businessman: This client may be at risk depending on travel history or comorbidities, but business professionals typically have better access to healthcare and housing, reducing their baseline risk compared to other populations.

C. A 54-year-old businessman: Unless other risk factors are specified (e.g., foreign travel, immunocompromise), this demographic does not represent a high-risk group for TB in an outbreak situation.

D. A 43-year-old homeless man with a history of alcoholism: This client falls into a high-risk category for TB due to poor living conditions, potential malnutrition, and compromised immunity related to alcoholism. Homelessness and substance use are well-established risk factors for tuberculosis, especially during outbreaks.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. “I will rest my hand over my abdomen to create resistance.” This technique is used for diaphragmatic breathing exercises, not incentive spirometry. It does not help assess or improve lung expansion, which is the primary goal of using the incentive spirometer.

B. “I will lie on my back with my knees bent.” While lying down may be appropriate for some breathing exercises, the incentive spirometer is best used in a sitting or upright position. Sitting allows for maximal lung expansion and facilitates more effective use of the device.

C. “I will place the adapter on my finger to read my blood oxygen saturation level.” This describes the use of a pulse oximeter, not an incentive spirometer. The spirometer measures inspiratory volume, while pulse oximetry is used to monitor oxygen saturation.

D. "I will take in a deep breath and hold it before exhaling." The client should inhale slowly and deeply through the mouthpiece, hold the breath for several seconds to promote alveolar inflation, then exhale. This process helps prevent atelectasis and promotes lung expansion.

A. drink juices high in vitamin C B. cough into your elbow C. wash hands frequently D. cover the mouth and nose with when sneezing E. use a saline nose spray frequently

Correct Answer is ["B","C","D"]

Explanation

A. Drink juices high in vitamin C: While vitamin C may help support immune function, it does not prevent the transmission of colds to others. This measure is more about personal health and has no direct effect on reducing contagion.

B. Cough into your elbow: Coughing into the elbow instead of the hands prevents the spread of respiratory droplets through touch, reducing the likelihood of contaminating surfaces and infecting others.

C. Wash hands frequently: Hand hygiene is one of the most effective ways to prevent the spread of respiratory viruses. Frequent handwashing helps remove viruses acquired from contaminated surfaces or respiratory secretions.

D. Cover the mouth and nose when sneezing: Covering the mouth and nose with a tissue or elbow during sneezing limits the dispersion of infectious droplets into the air, reducing transmission to others.

E. Use a saline nose spray frequently: Saline sprays may keep nasal passages moist and comfortable, but they do not reduce the risk of spreading infection to others. Their use is symptomatic, not preventive from a contagion standpoint.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is working in a walk-in clinic. She has been alerted that there's an outbreak of tuberculosis (TB). Which client entering the clinic today is most likely to have TB?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing client instructions on the use of an incentive spirometer. Which of the following statements made by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

The nurse advises that, to reduce the risk of giving a cold to another, one should: (Select 3 correct answers)

Correct Answer is ["B","C","D"]

Explanation

A client with an acute upper respiratory infection wants to know what diet he should follow to help treat his symptoms. Which diet would the nurse advise the client to follow?

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

A nurse is caring for a patient with a tracheostomy. What should the nurse do to determine the patient needs suctioning?

The nurse is auscultating the chest in an adult client. Which technique is correct?

The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the chin thrust out. How should the nurse interpret this finding?

The mother of a child with a cold asks the nurse. "How long will my child be contagious?". The nurse should reply?

The clinic nurse administers a tuberculin skin test to a client. The nurse tells the client to return to the clinic for the results in?

A patient has a temperature of 102.2°F. The nurse needs to document the temperature in Celsius for the electronic medical record. (LABEL CORRECTLY. ROUND TO TENTH)