A charge nurse is preparing to admit four new clients to the unit. Which of the following clients should the nurse assign to a private room?
A 32-year-old client who has chlamydia
A 50-year-old client who has Candida albicans
A 25-year-old client who has vaginal trichomonas
A 40-year-old client who has streptococcal pharyngitis
The Correct Answer is D
A. A 32-year-old client who has chlamydia: Chlamydia is a sexually transmitted infection that is not transmitted via airborne or droplet routes. Standard precautions are sufficient, and a private room is not required.
B. A 50-year-old client who has Candida albicans: Candida infections are generally superficial and not highly contagious. Standard precautions are adequate, so a private room is not necessary.
C. A 25-year-old client who has vaginal trichomonas: Trichomoniasis is a sexually transmitted infection and does not require isolation. Standard precautions are appropriate for this client.
D. A 40-year-old client who has streptococcal pharyngitis: Streptococcal pharyngitis is transmitted via respiratory droplets. Placing the client in a private room or with another client who has the same infection helps prevent transmission, making a private room the most appropriate assignment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Heart rate 190/min: A normal newborn heart rate ranges from 120 to 160 beats per minute. A heart rate of 190/min is tachycardic and is above the expected range for a healthy newborn.
B. Irregular respirations: Newborns often exhibit irregular respirations with periods of rapid breathing followed by pauses. This pattern is expected in the first few hours after birth and usually does not indicate distress if oxygen saturation is normal.
C. Central cyanosis: Central cyanosis, including blue lips or tongue, is abnormal and may indicate hypoxemia or congenital heart or respiratory issues. Normal newborns may show brief acrocyanosis of hands and feet but not central cyanosis.
D. Temperature of 38.2° C (100.8° F): A normal newborn temperature ranges from 36.5° C to 37.5° C (97.7° F to 99.5° F). A temperature of 38.2° C is elevated and may indicate infection or overheating.
Correct Answer is B
Explanation
A. "Have you noticed a rash or reddening of your skin?": While skin irritation can occur with some occupational exposures, insulation installers are more commonly exposed to airborne fibers that affect the respiratory system rather than causing primary skin rashes.
B. "Do you have a cough or any breathing problems?": Insulation installers are at risk for inhaling fiberglass, asbestos, or other particles that can irritate the lungs and airways. Assessing for respiratory symptoms is essential to identify potential occupational lung disease or irritation.
C. "Have you noticed any loss of hearing or ringing in your ears?": Hearing loss and tinnitus are more relevant for workers exposed to loud noise, such as in manufacturing or construction environments with heavy machinery, rather than insulation installation specifically.
D. "Do you have any numbness or tingling in your fingers?": Numbness or tingling is usually associated with repetitive motion injuries, neuropathies, or exposure to vibrating tools. While possible, it is less directly related to the primary occupational hazards of insulation work.
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