A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?

A client who has tuberculosis

A client who has pneumonia

A client who has shigella

A client who has strep throat

Answer and Explanation

The Correct Answer is A

A.   Tuberculosis is an airborne infection, requiring airborne precautions to prevent transmission.
B.   Pneumonia is typically transmitted through respiratory droplets and does not require airborne precautions.
C.   Shigella is transmitted through the fecal-oral route and does not require airborne precautions.
D.   Strep throat is typically transmitted through respiratory droplets and does not require airborne precautions.

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Correct Answer is A

Explanation

A. Denial is the first stage of grief, in which the person refuses to accept the reality of their situation and tries to maintain a sense of normalcy. The client who says they are looking forward to seeing their grandchildren grow up is denying the fact that they have a terminal illness and that they may not live long enough to witness that.
B. Bargaining involves making deals with self and God to help feel better, for instance, in this case the client will be expressing the will to do anything to prolong his life.
C. Acceptance involves coming to terms with the reality of the situation and preparing for death. The client's statement does not indicate full acceptance.
D. Anger involves feelings of resentment or frustration. The client's statement does not express anger towards their situation.

A. Loss of appetite B. Left lower extremity tenderness C. Increased heart rate during physical activity D. Musculoskeletal weakness

Correct Answer is B

Explanation

A. While decreased appetite may be concerning, it is not typically considered a priority over potential complications related to immobility.
B. Left lower extremity tenderness could indicate deep vein thrombosis (DVT), a serious complication of prolonged bed rest that requires immediate attention to prevent pulmonary embolism.
C. Increased heart rate during physical activity may be expected after a period of bed rest and can be addressed with gradual reconditioning.

D. Musculoskeletal weakness is a common consequence of immobility and would be addressed as part of the client's rehabilitation but is not an immediate priority compared to potential complications like DVT.

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A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, "I am looking forward to seeing my grandchildren grow up." The nurse should identify that the client is experiencing which of the following stages of grief?

Correct Answer is A

Explanation

A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?

Correct Answer is B

Explanation

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