A nurse is admitting a patient who has active tuberculosis to a room in a medical-surgical unit. Which of the following room assignments should the nurse make for the patient?
A room that is within view of the nurses’ station
A room with another non-surgical patient
A room with air exhaust directly to the outdoor environment
A room in the ICU
The Correct Answer is C
Choice A rationale
While having a room within view of the nurses’ station can be beneficial for monitoring the patient, it does not specifically address the needs of a patient with active tuberculosis.
Choice B rationale
Placing a patient with active tuberculosis in a room with another non-surgical patient could potentially expose the other patient to the disease. Tuberculosis is an airborne disease and can easily spread to others in close proximity.
Choice C rationale
A room with air exhaust directly to the outdoor environment is the most appropriate choice for a patient with active tuberculosis. This type of room, known as a negative pressure room, helps prevent the spread of airborne diseases like tuberculosis. The air in the room is vented outside, reducing the risk of the disease spreading to other areas of the hospital.
Choice D rationale
While the ICU is equipped to handle severe and critical cases, a patient with active tuberculosis does not necessarily need to be in the ICU unless they are critically ill. Moreover, placing them in the ICU could potentially expose other critically ill patients to tuberculosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Providing a quiet, low-stimulus environment is one of the key interventions for a patient with hyperthyroidism who is at risk of a thyroid crisis. Hyperthyroidism is characterized by an overproduction of thyroid hormones, which can accelerate the body’s metabolism causing symptoms such as rapid heart rate, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. A thyroid crisis, also known as a thyroid storm, is a severe, life-threatening condition characterized by extreme symptoms of hyperthyroidism. A quiet, low-stimulus environment can help reduce anxiety and agitation, which can exacerbate symptoms and potentially trigger a thyroid crisis.
Choice B rationale
Keeping the patient NPO (nothing by mouth) is not typically necessary in the management of hyperthyroidism unless the patient is preparing for a procedure such as thyroid surgery. In
fact, because of the increased metabolic rate in hyperthyroidism, patients often have an increased appetite and may require additional caloric intake.
Choice C rationale
Administering aspirin for any sign of hyperthermia is not recommended in hyperthyroidism. Aspirin can actually increase the level of free thyroid hormones in the blood by displacing them from their binding proteins, potentially worsening the hyperthyroid state.
Choice D rationale
While it is important to observe patients with hyperthyroidism for signs of various complications, hypocalcemia is not typically associated with hyperthyroidism. Hypocalcemia, or low calcium levels in the blood, is more commonly associated with hypoparathyroidism or vitamin D deficiency.
Correct Answer is B
Explanation
Choice A rationale
Fever is not a typical symptom of osteoarthritis of the knee. Osteoarthritis is a degenerative joint disease that causes pain and stiffness, but it does not typically cause systemic symptoms like fever.
Choice B rationale
This is the correct answer. Crepitus, which is a grating or crackling sound or sensation, can be a symptom of osteoarthritis of the knee. It is caused by the rubbing of bone on bone due to the loss of protective cartilage in the joint.
Choice C rationale
Malaise, or a general feeling of discomfort or illness, is not a specific symptom of osteoarthritis of the knee. While osteoarthritis can cause discomfort and limit activity, it does not typically cause generalized malaise.
Choice D rationale
Weakness can occur in the muscles around an affected joint due to lack of use or muscle atrophy, but it is not a primary symptom of osteoarthritis of the knee
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