A community health nurse is caring for a client who has laryngeal tuberculosis. Which of the following isolation precautions should the nurse recommend for this client?

A. Help clients gather needed supplies.

Incorrect: While helping clients gather supplies is important, addressing their physical needs, including providing these supplies directly, takes precedence. The focus should be on immediate assistance rather than guiding them to gather resources on their own.

B. Address the physical needs of clients.

Correct: This is the priority action because ensuring individuals have access to essential resources like food, water, shelter, and medical care is crucial for their immediate well-being and safety.

C. Explore feelings the clients are experiencing.

Incorrect: Emotional support is essential, but it becomes a priority after addressing the immediate physical needs. Exploring feelings and providing psychological support are crucial aspects of disaster response but are secondary to ensuring physical well-being.

D. Create diversionary activities for children.

Incorrect: While creating activities for children is important for their well-being, it is a lower priority than addressing their immediate physical needs. Once the basic necessities are met, diversionary activities can contribute to the emotional well-being of the affected individuals.

A. Provide oral care to the client every 6 hr:

While oral care is important for comfort, a fixed time interval may not be sufficient. Clients near death may experience increased oral secretions, and providing oral care should be based on the individual's needs. It's more appropriate to provide oral care as needed rather than adhering strictly to a 6-hour schedule.

B. Elevate the head of the client's bed

Elevating the head of the bed can help ease breathing and reduce the sensation of breathlessness, which is a common issue for clients who are near death. This position can also prevent aspiration if the client has difficulty swallowing.

C. Turn the client every 4 hr.

Turning the client every 4 hours is important for preventing pressure ulcers, but in the context of a client who is near death, comfort measures take precedence. Frequent turning might cause unnecessary discomfort or pain.

D. Offer the client ice chips:

Offering ice chips may not be appropriate for a client near death. In the final stages of life, maintaining comfort is crucial, and ice chips may not contribute positively to the overall comfort of the client. Hydration and nutritional needs are often reassessed in the context of end-of-life care, and other comfort measures may be prioritized over offering ice chips.