A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?
A room that is within view of the nurses' station
A room in the ICU
A room with another nonsurgical client
A room with air exhaust directly to the outdoor environment
The Correct Answer is D
A. A room that is within view of the nurses' station: While visibility to the nurses' station is advantageous for monitoring the client, it is not the most critical consideration for a client with active tuberculosis. The priority is to prevent the spread of infectious droplets to other clients and healthcare workers.
B. A room in the ICU: Placing a client with active tuberculosis in the ICU may not be necessary unless there are specific medical reasons requiring intensive care. However, the room assignment should prioritize infection control measures.
C. A room with another nonsurgical client: It is not advisable to place a client with active tuberculosis in a room with another nonsurgical client due to the risk of spreading the infection to a potentially vulnerable individual.
D. A room with air exhaust directly to the outdoor environment: This is the correct answer. The preferred room assignment for a client with active tuberculosis is one with proper ventilation that allows air to be exhausted directly to the outdoor environment. Negative pressure rooms with high-efficiency particulate air (HEPA) filtration are often used to minimize the risk of airborne transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "The medication can take up to 15 minutes to take effect." - This statement is not accurate, sublingual nitroglycerin works rapidly and often provides relief within a few minutes.
B. Sublingual nitroglycerin is administered by placing the tablet under the tongue, and it should be allowed to dissolve or be absorbed directly into the bloodstream through the mucous membranes. It is not swallowed or chewed. The small sip of water can help facilitate the dissolving process.
C. "Avoid taking the medication prior to exercising." - This statement is not accurate. Nitroglycerin can be taken before anticipated exertion or activities that may trigger angina to prevent anginal episodes during physical activity.
D. "Stop taking the medication and notify your provider if you develop a headache." - While headaches are a common side effect of nitroglycerin, they are generally transient and not a reason to stop taking the medication. Persistent or severe headaches should be reported to the healthcare provider.
Correct Answer is A
Explanation
A. Barrel shape: In COPD, the chest often assumes a barrel shape due to hyperinflation of the lungs. This is characterized by an increased anterior-posterior diameter, resulting in a more rounded appearance of the chest.
B. Kyphotic: A kyphotic shape refers to an exaggerated outward curvature of the thoracic spine. It is not a characteristic chest shape associated with COPD.
C. Funnel: A funnel chest (pectus excavatum) is a depression or hollowing of the chest wall, and it is not typically associated with COPD.
D. Pigeon: A pigeon chest (pectus carinatum) is a deformity in which the chest protrudes outward. It is not a characteristic chest shape associated with COPD.
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