A nurse is caring for a client who is suspected to have active laryngeal tuberculosis (TB). Which of the following actions should the nurse plan to take to safely care for this client?

Have staff and visitors wear gowns while in the client’s room.

Place the client in a private room with a special ventilation system.

Move the client to a semi-private room with a client who requires droplet precautions.

Remove personal protective equipment in the hallway outside of the client’s room.

Answer and Explanation

The Correct Answer is B

Choice A reason: While gowns may be part of the precautions, they are not sufficient alone for preventing the spread of TB, which is transmitted via airborne particles.

Choice B reason: Placing the client in a private room with a special ventilation system is crucial for preventing the spread of TB. The special ventilation system, typically a negative pressure room, ensures that airborne particles do not escape into other areas, thereby protecting staff and other patients.

Choice C reason: A semi-private room with another patient requiring droplet precautions is inappropriate for a TB patient, as TB requires strict airborne precautions to prevent transmission.

Choice D reason: Removing personal protective equipment in the hallway increases the risk of contaminating the hallway and spreading TB. PPE should be removed inside the room or anteroom to contain potential contaminants.

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Correct Answer is C

Explanation

Choice A reason: Local anesthesia is not typically used for a colonoscopy. Sedation and analgesia are used to make the client comfortable, but some sensation may still be felt.

Choice B reason: While it is true that many clients find the bowel preparation uncomfortable, this statement does not address the client's concern about pain during the procedure itself.

Choice C reason: The correct answer is c because it is honest and informative. Clients may experience some cramping during a colonoscopy, but it is usually mild and can be managed with sedation and analgesia.

Choice D reason: This statement may be reassuring but is not entirely accurate. While sedation may cause some amnesia, it is important to provide realistic expectations about the procedure and potential sensations.

A. "I can experience harmless, black-colored stools while taking this medication." B. "I will eat a low-potassium diet while taking this medication." C. "I will protect my adrenal glands by taking this medication every other day." D. "I can achieve the best effectiveness by taking this medication before bedtime."

Correct Answer is C

Explanation

Choice A reason: Black-colored stools can indicate gastrointestinal bleeding, which is a potential side effect of corticosteroids like betamethasone. It is not considered harmless and should be reported to the healthcare provider immediately.

Choice B reason: A low-potassium diet is not specifically required for clients taking betamethasone. Corticosteroids can cause potassium loss, so it is important to monitor potassium levels, but not necessarily restrict intake unless directed by the healthcare provider.

Choice C reason: The correct answer is c because taking corticosteroids like betamethasone every other day can help reduce the risk of adrenal suppression, a common side effect of long-term corticosteroid use. This dosing schedule allows the adrenal glands to recover and maintain their function.

Choice D reason: Taking betamethasone before bedtime is not specifically recommended for its effectiveness. The dosing schedule should be based on the healthcare provider's instructions and tailored to the client's condition and response to the medication.

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A nurse is caring for a client who is suspected to have active laryngeal tuberculosis (TB). Which of the following actions should the nurse plan to take to safely care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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