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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Defining the legal scope of nursing practice:
The nurse practice act in each state defines the scope of practice for nurses, outlining what nurses can and cannot do within the legal boundaries of their profession. It specifies the duties, responsibilities, and limitations of nursing practice within that particular state.
B. Lobbying federal lawmakers to advance professional nursing:
While nursing organizations and associations may engage in lobbying efforts at the federal level, it's not a direct component of the state's nurse practice act.
C. Providing continuing education programs:
While states might require nurses to participate in continuing education for license renewal, the provision of continuing education programs itself is not a direct element of the nurse practice act.
D. Creating institutional policies for health care practices:
Institutional policies are typically developed by healthcare institutions or organizations and are separate from the state's nurse practice act.
Correct Answer is B
Explanation
A. 20 bpm: This is twice the calculated rate, so it's significantly higher than observed.
B. 10 bpm: This matches closely with the calculated rate of approximately 10.23 breaths per minute.
The scenario describes the nurse counting the client's breaths starting from when the second hand of the clock was at 12 and ending just past 5, and the client completed 9 breaths during this time frame.
Counting Period:
From just past 12 to just past 5 on the clock, the time span is approximately 53 seconds.
Number of Breaths:
The client completed 9 breaths within this time frame.
Now, to calculate the respiratory rate:
Respiratory rate = (Number of breaths / Time in minutes)
Respiratory rate = (9 breaths / 0.88 minutes) (53 seconds converted to minutes)
After calculation, the respiratory rate is approximately 10.23 breaths per minute.
C. 09 bpm: This is a lower value than observed and doesn't align with the counted breaths.
D. 18 bpm: This is close to double the observed rate, which doesn't match with the counted breaths within the time frame.
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