A nurse is admitting a client who has active tuberculosis. Which of the following nursing interventions is appropriate?
Place the client in a room that is ventilated to the outside.
Wear a gown when delivering the client's food tray.
Prohibit visitors while the client's infection is active.
Administer a tuberculin skin test prior to discharge.
The Correct Answer is A
A. Place the client in a room that is ventilated to the outside: Clients with active tuberculosis should be placed in negative pressure rooms with air exhausted directly to the outside to prevent the spread of airborne pathogens.
B. Wear a gown when delivering the client's food tray: Gowns are not typically necessary for routine care of clients with tuberculosis unless there is potential for contact with respiratory secretions.
C. Prohibit visitors while the client's infection is active: Visitors should be educated about tuberculosis precautions and provided with appropriate personal protective equipment if necessary, but prohibiting visitors may not be necessary.
D. Administer a tuberculin skin test prior to discharge: Tuberculin skin testing is used for screening and diagnosis of tuberculosis infection, not for management of active tuberculosis.
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Related Questions
Correct Answer is A
Explanation
A. The initial DTaP vaccine is typically administered to infants at 2 months of age as part of the routine childhood vaccination schedule recommended by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP). This vaccine is crucial for protecting infants against diphtheria, tetanus, and pertussis.
B. While DTaP vaccination is important, it is usually administered at 2, 4, and 6 months of age, with booster doses given later in childhood. Therefore, a 4-month-old infant would have already received the initial dose by this time.
C. Similarly, a 6-month-old infant would have already received the initial dose of the DTaP vaccine at 2 months of age, as part of the recommended vaccination schedule.
D. By 15 months of age, the child would have completed the primary series of DTaP vaccination and would be due for a booster dose rather than the initial vaccine.
Correct Answer is D
Explanation
A. Contacting the provider to prescribe more pain medication may be necessary if the client's pain is not adequately controlled; however, reevaluation of the client's response to the initial dose should be done first.
B. Teaching relaxation techniques for acute pain management may be helpful, but it is not the priority at this moment when the client's pain is not adequately controlled.
C. Documenting the client's reaction to the medication is important but should not delay immediate action to address the client's unrelieved pain.
D. Reevaluating the client's response to the medication is the priority to determine if additional interventions are needed to manage the client's pain effectively.
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