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","C","D"]
Explanation
Rationale:
A. Inactivated influenza vaccine: The inactivated influenza vaccine is safe during any trimester of pregnancy and helps protect both the mother and the fetus from influenza-related complications. It is routinely recommended for pregnant clients during flu season.
B. Varicella vaccine: The varicella vaccine is a live attenuated vaccine and is contraindicated during pregnancy because it poses a risk of fetal infection and congenital abnormalities. It should be administered before pregnancy or postponed until after delivery.
C. Tetanus, diphtheria, and acellular pertussis vaccine: The Tdap vaccine is recommended during pregnancy, ideally between 27 and 36 weeks gestation, to protect the newborn from pertussis. It is safe and provides passive immunity to the infant.
D. Inactivated polio vaccine: Inactivated polio vaccine (IPV) is safe during pregnancy and can be administered if the client is at risk for exposure or requires immunization. Live attenuated oral polio vaccine is contraindicated.
E. Rubella vaccine: The rubella vaccine is a live attenuated vaccine and is contraindicated during pregnancy due to the risk of congenital rubella syndrome. Women should be screened for immunity prior to pregnancy and vaccinated if nonimmune before conception.
Correct Answer is D
Explanation
Rationale:
A. Administer a continuous infusion of calcium gluconate: Calcium gluconate is not used for the management of preeclampsia or seizure prophylaxis. Magnesium sulfate is the medication of choice to prevent eclamptic seizures in clients with severe preeclampsia.
B. Place the client in the semi-Fowler's position: Semi-Fowler’s position does not optimize uteroplacental perfusion. Left lateral positioning is preferred to enhance blood flow to the uterus and improve maternal and fetal oxygenation.
C. Ensure bright lighting in the room: Bright lighting can increase stimulation and anxiety, which is not beneficial for a client at risk for seizures. A calm, low-stimulation environment is preferable to minimize seizure triggers.
D. Initiate seizure precautions: Clients with preeclampsia with severe features are at high risk for eclampsia, making seizure precautions essential. These include placing the bed in a low position, padding side rails, having oxygen and suction available, and monitoring closely for neurologic changes.
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