A nurse is assisting with the admission of a client who has tuberculosis with a productive cough.
Which type of isolation precautions should the nurse initiate for the client?
Airborne.
Protective.
Droplet.
Contact.
The Correct Answer is A
Choice A rationale:
Airborne precautions should be initiated for clients with tuberculosis (TB) who have a productive cough. TB is transmitted through the airborne route when an infected individual coughs, sneezes, or talks, releasing infectious droplets into the air. Airborne precautions include the use of negative-pressure isolation rooms and N95 respirators for healthcare workers to prevent the spread of TB.
Choice B rationale:
Protective precautions are not typically used for clients with TB. Protective precautions are more commonly employed for clients with compromised immune systems to protect them from infection.
Choice C rationale:
Droplet precautions are not sufficient for clients with TB because TB is primarily transmitted via airborne particles, not droplets. Droplet precautions are used for diseases like influenza or meningitis, which are transmitted through larger respiratory droplets.
Choice D rationale:
Contact precautions are not appropriate for clients with TB because TB is primarily transmitted through the airborne route. Contact precautions are typically used for diseases that are transmitted through direct contact with the client or contaminated surfaces.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
Explanation
Elevate extremity.Anticipated.This helps to reduce swelling and improve blood flow to the affected area. Send the catheter tip for culture.Anticipated.This helps to identify the possible cause of infection and guide the appropriate antibiotic therapy.
Assist in inserting a new IV catheter in a site distal to infiltration site.Contraindicated.A new IV catheter should be inserted in a site proximal to the infiltration site or in another extremity to avoid further damage to the infiltrated vein.
Suggest irrigating the IV catheter.Contraindicated.Irrigating the IV catheter may worsen the infiltration and increase the risk of complications.
Apply a cool compress to the extremity.Anticipated.This helps to reduce inflammation and pain at the infiltration site.
Administer phytonadione.Contraindicated.Phytonadione is a vitamin K antagonist that is used to reverse the effects of warfarin, an anticoagulant.It has no role in the management of IV infiltration.
Correct Answer is D
Explanation
Following a subtotal thyroidectomy, the nurse should position the client in a way that minimizes strain on the surgical site and promotes respiratory function. The most appropriate position for this client is:
d) Semi-Fowler's.
Semi-Fowler's position, where the head of the bed is elevated at a 30 to 45-degree angle, helps reduce swelling at the surgical site and facilitates breathing. This position also minimizes tension on the suture line and aids in preventing strain on the neck.
The other options are not as suitable for post-thyroidectomy positioning:
a) Dorsal recumbent: This position involves lying on the back with the knees flexed. While it might be used in some situations, it doesn't specifically address the considerations after a thyroidectomy.
b) Supine: Lying flat on the back may not provide optimal support to the neck and could potentially increase discomfort.
c) Left lateral: Lying on the left side may not be as effective in reducing strain on the neck and surgical site compared to the semi-Fowler's position.
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