The nurse reviews the client's test results.
Complete the following sentence by using the list of options.
The nurse should wear
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Rationale for Correct Choices:
- N95 respirator. The client’s presentation of a cough, fatigue, night sweats, weight loss, and positive sputum culture for M. tuberculosis strongly suggests active tuberculosis (TB). Tuberculosis is transmitted through airborne particles, and an N95 respirator is required to protect healthcare workers from inhaling these particles. The N95 mask is specifically designed to filter out small particles, including the Mycobacterium tuberculosis bacteria.
- Gloves. Gloves should be worn when caring for patients with suspected or confirmed TB to prevent contact transmission. While TB is primarily transmitted via airborne particles, gloves are still necessary to protect healthcare workers from coming into contact with bodily fluids such as sputum or any other potentially contaminated materials.
Rationale for Incorrect Options:
- Face shield. A face shield is not required as primary protection for TB. While face shields can protect against splashes and droplets, TB is primarily transmitted via airborne particles, for which an N95 respirator is more appropriate.
- Surgical mask. A surgical mask is not sufficient for protecting healthcare workers against tuberculosis because it does not filter out small airborne particles like the N95 respirator does. Surgical masks are primarily intended for droplet precautions, but tuberculosis is spread through airborne transmission, necessitating an N95 mask for adequate protection.
- Gown. A gown is not required in this situation unless the patient has other symptoms or conditions that increase the risk of contamination, such as excessive wound drainage or the potential for body fluid splashes. For TB transmission, the primary concern is airborne transmission, and appropriate PPE focuses on respiratory protection (N95) and gloves for contact precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Kleihauer-Betke test. This test is used to detect fetal-maternal hemorrhage by identifying fetal red blood cells in maternal circulation. It is not related to a nonreactive NST, which indicates the need for further fetal well-being assessment rather than checking for fetal-maternal bleeding.
B. Amnioinfusion. This procedure involves infusing fluid into the amniotic sac to relieve umbilical cord compression or dilute meconium-stained amniotic fluid. It is not an appropriate intervention for a nonreactive NST, as it does not assess fetal oxygenation or reactivity.
C. Administration of terbutaline. Terbutaline is a tocolytic used to relax the uterus and prevent preterm labor. It is not indicated for a nonreactive NST, as the concern in this scenario is fetal well-being rather than uterine activity.
D. Contraction stress test. A nonreactive NST means that the fetal heart rate does not demonstrate adequate accelerations, which can indicate potential fetal hypoxia. A contraction stress test is performed next to evaluate how the fetal heart rate responds to contractions, helping determine if the fetus can tolerate labor.
Correct Answer is B
Explanation
A. Discontinue this medication if this occurs again. Stopping a newly prescribed medication without consulting a provider is not recommended. Many medications, including antihypertensives, can cause lightheadedness, and adjustments or precautions should be discussed with a healthcare provider rather than discontinuing the drug independently.
B. Sit back down for a few minutes when this occurs. Lightheadedness upon standing is often due to orthostatic hypotension, which can be managed by sitting back down to allow blood pressure to stabilize. Slowly changing positions, staying hydrated, and rising gradually can also help minimize symptoms.
C. Restrict your daily fluid intake. Reducing fluid intake can worsen symptoms of orthostatic hypotension by decreasing blood volume, leading to further drops in blood pressure. Instead, maintaining adequate hydration is essential to support circulatory stability and prevent dizziness.
D. Take a daily potassium supplement. Unless there is a confirmed potassium deficiency, supplementation is unnecessary and could lead to hyperkalemia, especially if the client is on medications affecting potassium levels. Lightheadedness is more commonly related to blood pressure changes rather than potassium imbalances.
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