The nurse reviews the client's test results.
Complete the following sentence by using the lists of options.
The nurse should wear dropdown and place dropdown.
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Rationale for correct choices
• a powered air-purifying respirator (PAPR): A PAPR provides the highest level of respiratory protection for healthcare workers caring for clients with confirmed airborne infections such as tuberculosis. It filters airborne particles effectively, preventing inhalation of Mycobacterium tuberculosis bacteria. Standard surgical masks do not offer sufficient protection against airborne transmission, making PAPR the preferred choice for direct care in high-risk settings.
• the client in a room with negative pressure airflow: Negative pressure rooms prevent contaminated air from leaving the room, protecting other patients, staff, and visitors from airborne pathogens. Airflow is directed into the room and exhausted safely outside or through high-efficiency particulate air (HEPA) filters. This isolation measure is critical for tuberculosis, which spreads via aerosolized droplets from coughing or sneezing.
Rationale for incorrect choices
• Face shield: A face shield protects against splashes and large droplets but does not filter airborne particles. While it can be used in combination with respiratory protection, it alone does not prevent inhalation of airborne TB bacteria. It is not sufficient for infection control in this scenario.
• Surgical mask: A surgical mask protects against droplets but does not provide adequate filtration of airborne particles like M. tuberculosis. Relying on a surgical mask would place the nurse at risk for infection during prolonged or close contact with the client.
• the client in a room with positive pressure airflow: Positive pressure rooms push air out of the room to protect immunocompromised clients from outside contaminants. Using this type of room for a client with TB could spread infectious particles to other areas of the healthcare facility. It is unsafe for airborne isolation.
• a semi-private room with another patient: Placing a client with active TB in a shared room increases the risk of transmission to other patients. Airborne precautions require isolation in a single negative pressure room to prevent exposure to susceptible individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use metaphors to help express meaning: Using metaphors can introduce confusion when working through an interpreter, as cultural and linguistic differences may cause misinterpretation. Medical explanations should be clear, simple, and literal to ensure the client accurately understands the information.
B. Ask the client's family members to assist the interpreter: Family members should not serve as interpreters for medical explanations. Using untrained interpreters can lead to errors, breaches of confidentiality, and incomplete or inaccurate information. Professional medical interpreters ensure accurate communication and patient safety.
C. Direct all information to the client: When using a medical interpreter, the nurse should address all information directly to the client, not the interpreter. This approach maintains respect for the client, promotes engagement, and ensures that the client is the focus of the teaching, while the interpreter facilitates communication.
D. Include medical terminology when explaining the procedure: Excessive medical terminology can confuse clients, especially when translation is involved. The nurse should use plain language, explain terms in simple words, and avoid jargon to ensure comprehension through the interpreter.
Correct Answer is B
Explanation
A. Amino acid: Amino acids are the protein component of total parenteral nutrition (TPN). They provide essential and nonessential amino acids necessary for tissue repair, nitrogen balance, and protein synthesis. Amino acids are water-soluble and do not form emulsions, so they do not function as the fat component in TPN.
B. Egg phospholipid: Egg phospholipids serve as an emulsifying agent in intravenous fat emulsions. In TPN, the fat emulsion contains triglycerides suspended in water, and the phospholipid stabilizes the mixture, preventing separation. This allows safe delivery of essential fatty acids and caloric energy intravenously, making egg phospholipid a key component of the fat emulsion.
C. Folic acid: Folic acid is a water-soluble B vitamin included in TPN to prevent megaloblastic anemia and support DNA synthesis. It is not part of the lipid or fat component and does not function as an emulsifier.
D. Calcium gluconate: Calcium gluconate is an electrolyte added to TPN to maintain calcium balance. While important for metabolic and cardiac function, it is not a fat emulsion and does not provide caloric energy or act as an emulsifying agent.
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