The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute neuro unit for treatment. The client with which condition should be assigned the only private room available?

Bacterial meningitis.

Septic shock.

Brain abscess.

Viral encephalitis.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Bacterial meningitis: This condition is highly contagious and transmitted via respiratory droplets. A private room with droplet precautions is required to prevent the spread of infection to others.

B. Septic shock: Although serious, it is not typically contagious. The client needs intensive monitoring, but isolation is not necessary unless another transmissible condition is present.

C. Brain abscess: A brain abscess is not communicable and does not require isolation. It results from localized infection and can be managed safely in a shared room with appropriate care.

D. Viral encephalitis: Viral encephalitis is usually not spread person to person in a hospital setting. Standard precautions are generally sufficient unless another communicable disease is involved.

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Free Nursing Study Resources

Correct Answer is ["A","C","F"]

Explanation

Rationale:

A. It is okay not to love or like your mother when you are caring for her: Caregiving can cause complex emotional responses, including frustration, resentment, or detachment. Acknowledging these feelings as valid reduces guilt and supports emotional well-being.

B. Avoid discussion of negative situations that may occur in the future: Avoiding difficult conversations prevents proactive planning and increases long-term stress. Suppressing such discussions may result in crisis decision-making.

C. Involve your mother in the decision making process: Including the care recipient in decisions supports autonomy and reduces resistance to care. This also reduces the burden on caregivers by promoting shared responsibility and improving cooperation.

D. Saying "no" to things involving the care of your mother is a selfish action: This statement promotes guilt and discourages boundary-setting. Caregivers need to say “no” when tasks exceed their capacity. Establishing limits is necessary to avoid emotional and physical exhaustion.

E. Helping your mother should be easier than raising a child: Comparing caregiving roles is dismissive and unhelpful. Each caregiving situation presents different challenges, and this mindset invalidates the stress caregivers experience.

F. Take time for yourself and the other relationships that you care about: Encouraging caregivers to nurture their personal lives is key to stress reduction. Taking breaks and maintaining relationships prevents caregiver burnout and preserves emotional resilience.

G. Moving your mother into a care facility will show her that you do not love her: This belief promotes guilt and stigmatizes the use of long-term care services. Sometimes institutional care is the safest. Love is not diminished by choosing professional help.

H. You made a promise to your mother that you need to keep: Rigidly adhering to past promises can harm both caregiver and recipient. As care needs change, so must plans. Encouraging flexibility helps caregivers respond to the current situation, not outdated expectations.

A. Observe wound drainage characteristics. B. Assess for signs of fluid volume deficit. C. Determine when the client last ate. D. Measure the level of acute pain.

Correct Answer is B

Explanation

Rationale:

A. Observe wound drainage characteristics: Monitoring surgical wound drainage is not the immediate priority in the presence of a critically elevated blood glucose level. Hyperglycemia can impair wound healing, but signs of dehydration and fluid loss pose more immediate life-threatening concerns.

B. Assess for signs of fluid volume deficit: With a glucose level of 750 mg/dL, the client is at high risk for hyperosmolar hyperglycemic state (HHS), which causes severe dehydration due to osmotic diuresis. Assessing for fluid volume deficit is the priority to prevent hypovolemic shock and end-organ damage.

C. Determine when the client last ate: Knowing the time of last oral intake is useful in evaluating glucose trends, but it does not take precedence over assessing for the physiological effects of extreme hyperglycemia, such as dehydration and altered mental status.

D. Measure the level of acute pain: Pain assessment is essential in postoperative care, but it is not the top priority when blood glucose is dangerously high. Uncontrolled hyperglycemia can cause more rapid deterioration and must be assessed and managed first.

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The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute neuro unit for treatment. The client with which condition should be assigned the only private room available?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","F"]

Explanation

Correct Answer is B

Explanation

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