Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Places a surgical mask on the patient to transport to radiology.

Places the patient on droplet precautions.

Wears a surgical mask when providing patient care.

Places the patient in a private, negative airflow room.

Wears eye protection when collecting sputum samples.

Answer and Explanation

Correct Answer : A,D,E

A.   It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B.   TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C.   While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D.   Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E.   Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

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Correct Answer is D

Explanation

A. This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B. This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C. While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D. This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

A. "We will replace the carpet in our bedroom with tile. B. "We'll keep the plants in our home dusted." C. "We're glad the dog can continue to sleep in our bedroom. D. "We'll be sure to use the fireplace often to keep the house warm in the winter."

Correct Answer is A

Explanation

A. This statement indicates a good understanding of environmental control for asthma management. Carpets can trap dust, allergens, and mold, which can trigger asthma attacks. Replacing the carpet with tile can help to reduce exposure to these allergens.
B. While dusting plants can help to reduce exposure to allergens, it is not as effective as removing potential allergens from the environment altogether. Plants themselves can also be sources of allergens, so it might be best to remove them from the home, especially the bedroom.
C. Pets, especially dogs and cats, can be a significant source of allergens for people with asthma. Keeping a pet in the bedroom can increase exposure to allergens and trigger asthma attacks.
D. Burning wood in a fireplace can produce smoke and other pollutants that can irritate the airways and trigger asthma attacks. It is best to avoid using fireplaces, especially during the winter months.

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Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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