A nurse is assisting in the care of a client suspected of having a tuberculosis infection. Which of the following personal protective equipment should the nurse wear when in the client's room?
Gown
Gloves
Dosimeter badge
N95 respirator
The Correct Answer is D
A. Gown: Gowns are typically used to protect against contact with infectious body fluids or contaminated surfaces. Tuberculosis is primarily transmitted via airborne droplets, so gowns are not required for routine care of a client with suspected TB.
B. Gloves: Gloves protect against direct contact with infectious materials or bodily fluids. While gloves may be used during procedures involving secretions, they are not the primary protective equipment for preventing inhalation of airborne TB particles.
C. Dosimeter badge: Dosimeter badges monitor exposure to ionizing radiation and are irrelevant in the context of airborne infectious diseases like tuberculosis. Wearing a dosimeter does not protect against TB transmission.
D. N95 respirator: An N95 respirator is specifically designed to filter airborne particles, including Mycobacterium tuberculosis. Nurses must wear an N95 respirator when entering the room of a client with suspected or confirmed TB to prevent inhalation of infectious droplets.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fundus is located 2 cm (0.4 in) below the level of the umbilicus: A fundus slightly below the umbilicus 24 hours postpartum is expected as the uterus involutes. This is a normal finding and does not require immediate reporting unless accompanied by excessive bleeding or other concerning signs.
B. Scant lochia rubra on the perineal pad: Scant lochia rubra is typical within the first 24 hours postpartum, indicating normal uterine shedding. It is expected and does not indicate a complication in the absence of heavy bleeding or foul odor.
C. Non-pitting bilateral peripheral edema: Mild non-pitting edema in the lower extremities can occur postpartum due to fluid shifts and is usually self-limiting. It is not typically emergent unless accompanied by severe swelling, pain, or signs of deep vein thrombosis.
D. Oral temperature of 38.8° C (101° F): An elevated temperature above 38° C 24 hours postpartum may indicate infection, such as endometritis or urinary tract infection. This finding requires immediate reporting to the RN for further assessment and intervention.
Correct Answer is D
Explanation
A. Hyperglycemia: Epinephrine is not used to treat elevated blood glucose levels. Its primary action is to counteract severe allergic reactions, not metabolic disturbances such as hyperglycemia.
B. Hand tremors: Hand tremors can be a side effect of epinephrine rather than an indication for its use. Tremors are related to its sympathomimetic effects on the nervous system and are not treated by the medication.
C. Nausea:Although nausea can occur during allergic reactions, it is not the primary manifestation indicating the need for an epinephrine auto-injector.
D. Swelling of the lips:An epinephrine auto-injector is used to treat anaphylaxis, a severe allergic reaction. Swelling of the lips is a sign of angioedema and airway involvement, which can rapidly progress to airway obstruction. Epinephrine works by causing vasoconstriction, bronchodilation, and reduced mucosal edema, making it the first-line treatment for severe allergic reactions.
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