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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 20 mg
Available Concentration: 40 mg/5 mL
- Calculate the volume to administer
Volume to administer = (Ordered Dose ÷ Concentration) × Volume of Concentration
Volume to administer = (20 ÷ 40) × 5
Volume to administer = 0.5 × 5
Volume to administer = 2.5 mL
Correct Answer is C
Explanation
Rationale:
A. Hyperkalemia: Furosemide is a loop diuretic that promotes potassium excretion, which can lead to hypokalemia, not hyperkalemia. Monitoring for low potassium is important, but hyperkalemia is not a primary concern with these medications.
B. Hypoglycemia: Neither furosemide nor gentamicin directly affects blood glucose levels. Hypoglycemia is not a typical complication of these medications.
C. Ototoxicity: Gentamicin, an aminoglycoside antibiotic, and furosemide, a loop diuretic, can both cause ototoxicity, which may result in tinnitus, hearing loss, or balance disturbances. Monitoring for auditory changes is essential when these medications are used concurrently.
D. Liver toxicity: These medications are not primarily hepatotoxic. Liver function monitoring is not a routine requirement for furosemide or gentamicin unless there are other predisposing conditions.
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