A patient with suspected coccidioidomycosis is admitted to the hospital, which of the following infection control measures should the nurse prioritize?

Use standard precautions when caring for the patient.

Implement airborne precautions immediately.

Educate the patient about preventing soil disturbance.

Place the patient in a negative pressure room.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Standard precautions are appropriate because coccidioidomycosis (Valley Fever) is not transmitted from person to person. Infection occurs through inhalation of spores from disturbed soil, so routine care requires standard precautions.
B. Airborne precautions and a negative pressure room are not necessary because the infection is not contagious between humans.
C. Educating the patient about preventing soil disturbance is important for prevention in the community but is not the immediate infection control measure for hospital staff.
D. Negative pressure rooms are only required for airborne pathogens that pose a risk of human-to-human transmission, which does not apply to coccidioidomycosis.

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Correct Answer is D

Explanation

Rationale:
A. Kyphotic refers to an exaggerated outward curvature of the thoracic spine, not specific to COPD.
B. Pigeon (pectus carinatum) is a protrusion of the sternum and is not associated with COPD.
C. Funnel (pectus excavatum) is a sunken sternum and is unrelated to COPD.
D. Barrel chest is common in COPD due to chronic air trapping and hyperinflation of the lungs, resulting in an increased anterior-posterior diameter of the chest.

A. Encourage the client to ambulate frequently. B. Encourage regular use of the incentive spirometer. C. Encourage coughing and deep breathing. D. Encourage the client to increase fluid intake.

Correct Answer is D

Explanation

Rationale:
A. Ambulation helps with lung expansion but does not directly thin secretions.
B. Incentive spirometer use improves ventilation and prevents atelectasis but does not specifically thin secretions.
C. Coughing and deep breathing help mobilize secretions once loosened, but they do not thin them.
D. Increasing fluid intake hydrates the respiratory tract and helps thin secretions, making them easier to expectorate — this is the most effective action.

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A patient with suspected coccidioidomycosis is admitted to the hospital, which of the following infection control measures should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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