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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Decreased urinary output is not a compensatory response; it may indicate dehydration or renal dysfunction.
B. Increased respiratory rate is a compensatory mechanism. The low bicarbonate (HCO₃⁻ 18 mEq/L) indicates metabolic acidosis, and the body compensates by increasing ventilation to lower PaCO₂ and help normalize pH.
C. Peripheral edema is not a compensatory response to acid-base imbalance; it relates to fluid retention or cardiac issues.
D. Hypertension is unrelated to acid-base compensation; it may be present due to other comorbidities but is not a compensatory mechanism.
Correct Answer is B
Explanation
Rationale:
A. Securing oxygen tubing to the bed sheet is not appropriate; tubing should remain free to avoid dislodgement or kinking.
B. Attaching a humidifier bottle is correct when oxygen is delivered at 4 L/min or higher to prevent drying of the mucous membranes.
C. The nasal cannula should remain in place while the client eats if possible; if removed, oxygen therapy should be promptly resumed.
D. Petroleum jelly should not be used near oxygen equipment due to the fire hazard; a water-soluble lubricant should be used instead if needed.
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