The nurse is caring for a 48-year-old-client admitted with complaints of fatigue and hemoptysis, but no other significant medical history. Social history includes smoking 1 pack/day x 20 years and occasional alcohol use. He denies taking any medication. The Mantoux test placed 72 hours earlier reveals an indurated area of 4 cm. Which action will the nurse plan to include in the care for this client?
Prepare to administer intravenous (IV) antibiotics
Prepare client for computerized.tomography (CT scan)
Prepare to start oxygen therapy
Place client in airborne isolation
The Correct Answer is D
The client's complaint of hemoptysis (coughing up blood) and a positive Mantoux test (4 cm induration) suggest the possibility of tuberculosis (TB) infection. TB is an airborne infectious disease, and placing the client in airborne isolation is necessary to prevent the spread of the infection to others.
Antibiotics may be used to treat tuberculosis, but the initial step would be to isolate the client and confirm the diagnosis before starting specific treatment.
A CT scan may be ordered to further evaluate the client's condition, but it is not the immediate action required in this case. Isolation and confirmation of the diagnosis take priority. While the client may require oxygen therapy based on their respiratory symptoms, it is not the primary action to take at this stage. Isolation and further evaluation are necessary before initiating specific treatments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E","F"]
Explanation
The normal physiological changes of aging that the nurse can expect in an older adult during a musculoskeletal assessment include:
● Widened Gait: With age, there can be a natural widening of the gait due to changes in balance and stability.
● Kyphosis: Kyphosis refers to an increased curvature of the thoracic spine, commonly known as a "hunchback" appearance, which can occur due to changes in the vertebral bones and intervertebral discs.
● Slowed movement: Older adults may experience a natural decline in their movement speed due to changes in muscle strength, coordination, and reaction time. ● Muscle atrophy: Age-related muscle atrophy, or loss of muscle mass, can occur, particularly if the older adult leads a sedentary lifestyle or has other underlying health conditions.
● Decreased joint ROM (Range of Motion): Older adults may experience a gradual decrease in joint flexibility and range of motion due to changes in the joints, ligaments, and surrounding tissues. This can affect their ability to move joints fully.
It's important to note that while some older adults may develop arthritis, it is not considered a normal physiological change of aging. Arthritis refers to the inflammation and degeneration of joints, which can occur due to various factors, including age, genetics, and lifestyle.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Aminoglycosides work by binding to the 30S subunit; this binding interferes with the bacterial ribosome's ability to synthesize proteins. By inhibiting protein synthesis, aminoglycosides disrupt bacterial growth and can lead to bacterial cell death.
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