The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:
Covers the mouth and nose when coughing.
Reports daily to the public health department.
Demonstrates correct use of the N95 mask.
Washes dishes and personal items after use.
The Correct Answer is A
Choice A reason: Covering the mouth and nose when coughing is a critical measure to prevent the spread of tuberculosis (TB). TB is primarily transmitted through airborne particles when an infected person coughs, sneezes, or talks. By covering the mouth and nose, the client reduces the risk of spreading the bacteria to others, which is a fundamental goal of TB transmission education.
Choice B reason: Reporting daily to the public health department is important for monitoring and managing TB treatment, but it does not directly relate to preventing the transmission of TB. This action is more about ensuring adherence to treatment protocols and monitoring the client’s health status.
Choice C reason: Demonstrating correct use of the N95 mask is also crucial in preventing the spread of TB, especially in healthcare settings or when the client is in close contact with others. The N95 mask filters out airborne particles, including TB bacteria, thereby reducing the risk of transmission. However, this measure is typically emphasized in specific situations rather than as a general practice for all clients with TB.
Choice D reason: Washing dishes and personal items after use is good hygiene practice but is not specifically related to the transmission of TB. TB is not spread through contact with dishes or personal items but through airborne particles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
5% dextrose in water (D5W) is not typically used for fluid resuscitation in cases of hypovolemia due to severe bleeding. D5W is a hypotonic solution once the dextrose is metabolized, which means it does not remain in the intravascular space and is not effective in expanding blood volume. It is more commonly used for providing free water and calories.
Choice B reason:
5% dextrose in 0.25% sodium chloride (D5 1/4 NS) is also not suitable for fluid resuscitation in hypovolemia due to severe bleeding. This solution is hypotonic and will not adequately expand the intravascular volume. It is generally used for maintenance fluids rather than for resuscitation.
Choice C reason:
0.9% normal saline (0.9% NaCl) is the preferred choice for fluid resuscitation in hypovolemia due to severe bleeding. It is an isotonic solution, meaning it has the same osmolarity as blood and remains in the intravascular space, effectively expanding blood volume. This helps to restore circulating volume and improve tissue perfusion.
Choice D reason:
3% sodium chloride (3% NaCl) is a hypertonic solution and is not typically used for fluid resuscitation in hypovolemia due to severe bleeding. Hypertonic solutions can cause rapid shifts of fluid from the intracellular to the extracellular space, which can lead to complications such as hypernatremia and osmotic demyelination syndrome. It is generally reserved for specific situations such as severe hyponatremia.
Correct Answer is ["10"]
Explanation
- 125 units of insulin in 250 mL of normal saline
Step 2: Calculate the concentration of insulin per mL.
- Concentration = 125 units ÷ 250 mL
- Concentration = 0.5 units/mL
Step 3: Determine the required rate of insulin administration.
- Ordered dose = 5 units per hour
Step 4: Calculate the IV flow rate.
- Flow rate (mL/hr) = Ordered dose ÷ Concentration
- Flow rate (mL/hr) = 5 units ÷ 0.5 units/mL
- Flow rate (mL/hr) = 10 mL/hr
The nurse should set the IV pump to 10 mL/hr.
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