A community health nurse is providing an in-service to new staff members on isolation precautions. Which of the following diseases should the nurse identify as requiring airborne precautions?

Choice A reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Community support organizations can provide valuable resources and assistance to the client, but they are not essential for the client's safety or recovery.

Choice B reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Spiritual support personnel can provide comfort and guidance to the client, but they are not essential for the client's safety or recovery.

Choice C reason: This statement is the priority action, as it addresses an immediate and urgent need of the client. The physical therapist needs to know the activity restrictions for the client following a hip arthroplasty, as they are responsible for developing and implementing a safe and effective rehabilitation plan for the client.

Choice D reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. A dietitian consult can provide information and education to the client about a vegan diet, but it is not essential for the client's safety or recovery.

Choice A reason: Assessing the bladder for distention is an important action, but not the first one. The nurse should first check the uterine tone and position, as a boggy or displaced uterus can indicate uterine atony, the most common cause of postpartum hemorrhage.

Choice B reason: Massaging the client's fundus is the first action to take. The nurse should apply firm, circular pressure to the fundus to stimulate uterine contractions and reduce bleeding. The nurse should also monitor the amount and character of lochia.

Choice C reason: Preparing to administer a prescribed oxytocic preparation is a necessary action, but not the first one. The nurse should first attempt to control the bleeding by massaging the fundus and assessing the bladder. If the bleeding persists, the nurse should administer medications such as oxytocin, methylergonovine, or carboprost to enhance uterine contractions.

Choice D reason: Assessing the client's blood pressure is an important action, but not the first one. The nurse should first manage the bleeding by massaging the fundus and preparing to administer medications. The nurse should also monitor the client's vital signs, including blood pressure, pulse, and temperature, for signs of shock or infection