What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

Choice A rationale

Asking the client to describe how they are feeling today is an important part of the assessment. However, when dealing with a client who is managing depression, the nurse’s first priority should be to ensure the safety of the client.

Choice B rationale

Asking if the client is having any thoughts about hurting themselves is the first question the nurse should ask. This is because safety is always the top priority, and clients dealing with depression may be at risk for self-harm or suicide.

Choice C rationale

While it’s important to understand what makes the client feel less depressed, this question is not as immediately critical as assessing for potential self-harm or suicide risk.

Choice D rationale

Understanding the client’s support system is an important part of the assessment, but it is not the first priority. The nurse’s initial focus should be on assessing the client’s immediate safety and mental health status.

Choice A rationale

The guardian’s statement about inspecting the child’s mouth for sores indicates an understanding of the teaching. Children with leukemia are at a higher risk for infection due to the chemotherapy drugs used in treatment, which can also kill healthy cells, including white blood cells that fight infection. Sores in the mouth could be a sign of infection, and regular inspection can help detect any issues early. This is a crucial part of managing side effects in children receiving leukemia treatment.

Choice B rationale

The statement about ensuring the child gets a measles, mumps, and rubella vaccine this week is incorrect. Children with leukemia have weakened immune systems due to their disease and treatment, and live vaccines such as the MMR vaccine are generally not recommended. Live

vaccines contain a weakened form of the virus or bacteria they protect against, which could cause serious illness in a child with a weakened immune system.

Choice C rationale

The statement about the child feeling better now that he can ride his bicycle is not necessarily indicative of an understanding of the teaching. While physical activity is important for overall health, children with leukemia may need to limit some activities to reduce the risk of injury and infection. It’s important to balance the child’s activity level with their overall health status and risk of complications.

Choice D rationale

The statement about taking the child’s rectal temperature daily is not necessarily indicative of an understanding of the teaching. While monitoring for fever is important in children with leukemia, as it could be a sign of infection, rectal temperatures are generally not recommended due to the risk of causing injury or introducing bacteria.