The nurse is providing care to a patient who has tested positive for tuberculosis. The patient is moved into an airborne isolation room and the patient asks. "Why do I need to be moved into this new room?" How should the nurse respond?
"This new room has negative pressure and does six to twelve air changes an hour and disposes the air outside to reduce the infection potential in other patients. I also have to wear this surgical mask"
"It sounds like you have some questions about your new diagnosis. What are you most concerned about?"
"Tuberculosis can seriously impair the lungs and requires a long course of antibiotics to treat it
“Tuberculosis is a small particle that can spread through the air. This new room has a special filter that reduces the spread of the bacteria through the air."
The Correct Answer is D
A. "This new room has negative pressure and does six to twelve air changes an hour and disposes the air outside to reduce the infection potential in other patients. I also have to wear this surgical mask."
While this provides technical information, the surgical mask part is incorrect; the nurse should wear an N95 respirator, not a surgical mask.
B. "It sounds like you have some questions about your new diagnosis. What are you most concerned about?"
While this is a therapeutic communication technique, it does not directly answer the patient's question about airborne precautions.
C. "Tuberculosis can seriously impair the lungs and requires a long course of antibiotics to treat it."
This statement provides disease information but does not explain why airborne isolation is necessary.
D. "Tuberculosis is a small particle that can spread through the air. This new room has a special filter that reduces the spread of the bacteria through the air."
This provides a concise and accurate explanation of airborne precautions in terms the patient can understand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Security and Privacy: While security and privacy are critical in electronic health records (EHR), they do not directly relate to improving documentation efficiency. Security measures protect client data from unauthorized access but do not necessarily enhance the speed of documentation.
B. Gamification: Gamification involves using game-like elements (e.g., rewards, challenges) to engage users. While it may be useful in staff training, it does not directly facilitate documentation of critical changes in client conditions.
C. Data Analytics: Data analytics helps in tracking trends, identifying high-risk patients, and improving documentation efficiency. By setting up real-time alerts and decision-support tools, the system can assist nurses in capturing critical changes efficiently.
D. Copy and Paste: While copy-and-paste functionality can save time, it is often discouraged in healthcare documentation due to the risk of carrying forward outdated or inaccurate information.
Correct Answer is B
Explanation
A. A patient who is lying on wrinkled sheets: Wrinkled sheets can cause pressure injuries, but they do not directly lead to shearing.
B. A patient who is pulled up in the bed by the nurse: Shearing occurs when the skin remains in place while underlying tissues move, often when a patient is dragged up in bed instead of lifted. This can damage skin layers and underlying tissues.
C. A patient who is frequently incontinent: Incontinence increases the risk of moisture-associated skin damage and pressure injuries but is not directly related to shearing.
D. A patient who is noted to have slough tissue: The presence of slough (dead tissue in a wound) indicates existing tissue damage but does not suggest an increased risk of shearing.
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