A nurse is admitting an older adult from Mumbai, India who is visiting family members in the US. Which of the following would be most appropriate for the nurse to say?

"Your roommate is Catholic and her priest comes to see her, is that a problem for you?"

"Can I call the Hindu hospital chaplain to make a visit with you today?"

"Can you tell me how your culture will impact the care I will give?"

“I will be sure to get a menu for you without any beef and beef related foods."

Answer and Explanation

The Correct Answer is C

A. "Your roommate is Catholic and her priest comes to see her, is that a problem for you?": This statement may inadvertently introduce a concern or discomfort about the roommate's religious practices. It does not focus on the needs or preferences of the patient and could be perceived as dismissive of the patient's own beliefs.

B. "Can I call the Hindu hospital chaplain to make a visit with you today?": While offering spiritual support is important, this question assumes the patient identifies with Hinduism without confirming their preferences or beliefs first. It is better to first ask about the patient’s specific cultural or spiritual needs.

C. "Can you tell me how your culture will impact the care I will give?": This approach demonstrates respect for the patient's cultural background and invites them to share their beliefs, values, and preferences. It allows for an open dialogue and helps the nurse understand how to provide culturally competent care tailored to the patient’s needs.

D. "I will be sure to get a menu for you without any beef and beef-related foods.": While it is important to accommodate dietary restrictions, this statement assumes the patient avoids beef without first confirming their dietary preferences or cultural practices. It is essential to ask about dietary restrictions directly to ensure the patient’s preferences are respected.

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Correct Answer is D

Explanation

A. Mask: The mask is removed after the gloves to prevent any contaminants from the gloves from touching the face, particularly around the mouth and nose area. Removing the mask first could increase the risk of exposure to pathogens.

B. Face shield: Similar to the mask, the face shield is also removed after the gloves. This helps to avoid contamination from the gloves to the face. Removing the face shield before the gloves could pose a risk of exposure to infectious materials.

C. Gown: The gown is typically removed after the gloves to ensure that any contaminants on the gloves do not come into contact with the nurse's skin or clothing. Removing the gown before the gloves can also lead to cross-contamination.

D. Gloves: Gloves should be the first item removed when taking off personal protective equipment. This is because gloves are the most likely to be contaminated with infectious materials. Removing them first minimizes the risk of transferring pathogens to other areas of the body or clothing during the process of doffing PPE. After removing the gloves, the nurse can safely proceed to remove other items, such as the gown, face shield, and mask, following proper protocols.

A. 212 B. 214 C. 208 D. 216

Correct Answer is C

Explanation

A. 212: Room 212 is a semi-private, positive-pressure airflow room. Positive-pressure rooms are used for patients who are immunocompromised to prevent outside pathogens from entering, which would not be suitable for a client with a productive cough and a positive Mantoux test, as this indicates a risk for tuberculosis (TB) transmission.

B. 214: Room 214 is a semi-private, negative-pressure room. While negative-pressure rooms are suitable for clients with infectious diseases like TB, the semi-private setup may not be appropriate due to the potential for airborne transmission to another patient.

C. 208: Room 208 is a private, negative-pressure airflow room. This is the most appropriate assignment for the client with a productive cough and a positive Mantoux test, as negative-pressure rooms help contain airborne pathogens and prevent their spread to other areas. The private setting also reduces the risk of exposing other patients to potential infection.

D. 216: Room 216 is a private, positive-pressure airflow room. Similar to Room 212, this type of room is designed to protect immunocompromised patients rather than those with infectious diseases like TB. Assigning the client to this room would increase the risk of transmission to healthcare workers and other patients.

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A nurse is admitting an older adult from Mumbai, India who is visiting family members in the US. Which of the following would be most appropriate for the nurse to say?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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