The nurse is admitting a patient with a suspected tuberculosis infection. Which type of isolation should the nurse institute for this client?

Droplet

Enhanced contact

Airborne

Neutropenic

Answer and Explanation

The Correct Answer is C

A. Droplet isolation:

Droplet isolation is used for diseases spread by respiratory droplets that are larger than those in airborne transmission. Examples include influenza and bacterial meningitis.

B. Enhanced contact isolation:

Enhanced contact precautions are implemented for patients known or suspected to be infected with pathogens that require additional control measures beyond standard precautions. This may include multi-drug resistant organisms.

C. Airborne isolation:

Airborne isolation is specifically used for diseases that are transmitted through small airborne particles that can remain suspended in the air for an extended period. Tuberculosis is one such example. The use of N95 respirators and negative pressure rooms is common for airborne precautions.

D. Neutropenic isolation:

Neutropenic precautions are implemented for patients with compromised immune systems, particularly those with low neutrophil counts. It involves measures to protect the patient from potential infections.

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Correct Answer is C

Explanation

A. Palpation:

Palpation involves using the hands to feel for tenderness, masses, or abnormalities in the abdomen. It is typically performed after auscultation. This helps prevent stimulating bowel activity before listening to bowel sounds.

B. The order does not matter:

In the context of abdominal assessment, the order does matter. Following a specific sequence, such as inspection, auscultation, palpation, and then percussion, is recommended to ensure a comprehensive and accurate assessment.

C. Auscultation:

Auscultation involves listening to bowel sounds using a stethoscope. It is the next step after inspection. Listening to bowel sounds before palpation helps avoid artificially stimulating bowel activity.

D. Percussion:

Percussion involves tapping the abdomen to assess for the presence of fluid or air. While less commonly performed in routine abdominal assessments, it is usually the last technique after inspection, auscultation, and palpation.

A. 74 year old female with malnutrition and a foley catheter in place B. 54 year old female admitted for chest pain observation C. 34 year old male admitted for seizure observation D. 78 year old male with right sided hemiplegia following a stroke

Correct Answer is A

Explanation

A. 74-year-old female with malnutrition and a foley catheter in place:

Malnutrition can weaken the immune system, making the individual more susceptible to infections. Additionally, the presence of a foley catheter increases the risk of urinary tract infections.

B. 54-year-old female admitted for chest pain observation:

Chest pain observation does not inherently increase the risk of infection.

C. 34-year-old male admitted for seizure observation:

Seizure observation does not inherently increase the risk of infection.

D. 78-year-old male with right-sided hemiplegia following a stroke:

While the hemiplegia following a stroke may pose mobility challenges, the presence of malnutrition and a foley catheter in option A puts the patient at a higher risk for infection.

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The nurse is admitting a patient with a suspected tuberculosis infection. Which type of isolation should the nurse institute for this client?

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Naxlex Comprehensive Predictor Exams

During a physical assessment a nurse inspects a patient’s abdomen. What assessment technique would the nurse perform next?

Correct Answer is C

Explanation

The nurse would recognize which of the following patients would be at highest risk for developing an infection?

Correct Answer is A

Explanation

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The nurse is admitting a patient with a suspected tuberculosis infection. Which type of isolation should the nurse institute for this client?