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 B
Explanation
A. Obtain daily urine specimens by opening the collection drainage system: Opening the drainage system increases the risk of introducing bacteria into the catheter, which can lead to infection.
B. Keep the urine collection bag below the level of the bladder at all times: Keeping the bag below the bladder prevents urine from back flowing into the bladder, which reduces the risk of infection.
C. Retract the foreskin to clean the catheter tubing and meatus outward, leaving the foreskin retracted: While the foreskin should be retracted for cleaning, it must always be returned to its normal position to prevent paraphimosis, a condition where the foreskin becomes trapped and restricts blood flow.
D. Change the indwelling catheter at least every one week: Routine catheter changes are not recommended unless there is an indication such as obstruction or infection. Unnecessary changes increase infection risk.
Correct Answer is C
Explanation
A. Take the report home and keep it locked up: Incident reports are confidential legal documents that must remain within the healthcare facility per policy.
B. Place the report in the client's medical record: Incident reports should not be included in the client’s medical record to prevent liability issues. Instead, objective documentation of the event and any interventions should be recorded in the chart.
C. Maintain the report according to agency policy: The report must be handled per facility protocols, typically submitted to the risk management department to improve patient safety.
D. Email the report to their nursing supervisor: Incident reports contain sensitive information and should be submitted securely following facility policy, not via email.
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