A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant?
A client who has alcoholic pancreatitis
A client who has latent tuberculosis
A client who is recovering from shingles
A client who has HIV
None
None
The Correct Answer is C
Rationale:
A. A client who has alcoholic pancreatitis: Alcoholic pancreatitis does not pose a risk of teratogenicity or infectious transmission to a pregnant nurse. Standard precautions are sufficient, making this assignment safe for a pregnant nurse.
B. A client who has latent tuberculosis: Latent TB is not contagious, as the bacteria are inactive and the client cannot transmit the infection. A pregnant nurse can safely care for this client with standard precautions without increased risk.
C. A client who is recovering from shingles: Shingles (herpes zoster) is caused by reactivation of the varicella-zoster virus and can be transmitted via direct contact with lesions. Pregnant nurses who have not had chickenpox or the varicella vaccine are at risk for serious complications, so this client should be assigned to a non-pregnant nurse.
D. A client who has HIV: HIV is transmitted through blood and body fluids, and standard precautions effectively protect healthcare workers. There is no contraindication for a pregnant nurse to care for a client with HIV using proper infection control measures.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Speak in a neutral tone when addressing the client: Clients with paranoid personality disorder are often suspicious of others’ motives and may perceive hostility or manipulation. Using a neutral, calm, and nonjudgmental tone helps build trust and reduces anxiety, increasing the likelihood of cooperation with care, including medication administration.
B. Rotate staff members caring for the client: Frequently changing caregivers can increase mistrust and paranoia in these clients, as consistency and predictability are important for establishing a therapeutic relationship. Continuity of care helps the client feel more secure and supported.
C. Mix the medication with the client's food items: Covertly administering medication can further damage trust and may be considered unethical. Clients with paranoid personality disorder require transparency and respect for autonomy to maintain a therapeutic relationship.
D. Limit the client's opportunities to socialize with others: Social isolation is not an appropriate intervention and may worsen symptoms of paranoia and distrust. Encouraging safe, structured social interactions can support the client’s overall functioning without compromising boundaries or autonomy.
Correct Answer is D
Explanation
Rationale:
A. Lack of empathy: This is characteristic of narcissistic personality disorder rather than obsessive-compulsive personality disorder (OCPD). Clients with OCPD may appear rigid and controlling but do not typically demonstrate a profound lack of empathy.
B. Fear of abandonment: This is a hallmark feature of borderline personality disorder, not OCPD. Clients with OCPD usually struggle with control, orderliness, and perfectionism rather than intense fears of being abandoned.
C. Distrust of others: Distrust is more indicative of paranoid personality disorder. While OCPD clients may be critical or controlling, pervasive suspicion and mistrust are not primary features.
D. Focus on perfectionism: A hallmark manifestation of OCPD is a preoccupation with order, rules, and perfectionism. Clients may become inflexible, excessively devoted to work, and unable to delegate tasks due to their high standards, making this the expected finding.
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