A nurse is contributing to the plan of care for a client who was newly admitted and has tuberculosis. Which of the following actions should the nurse recommend Including in the plan of care?
Initiate contact precautions.
Increase the client's daily intake of vitamin D.
Perform tuberculin skin testing.
Place the client in a positive-pressure isolation room.
The Correct Answer is B
Choice A Reason:
Contact precautions are not sufficient for tuberculosis (TB), which is an airborne infection. Instead, airborne precautions should be initiated.
Choice B Reason:
Increasing the client's daily intake of vitamin D may be considered as a complementary measure to support the immune system.
Choice C Reason:
Performing tuberculin skin testing (TST) is a diagnostic test for TB but is typically not included in the plan of care for a newly admitted client with confirmed TB.
Choice D Reason:
Placing the client in a positive-pressure isolation room is not the recommended isolation method for clients with TB. Negative-pressure isolation rooms help prevent the spread of infectious airborne diseases like TB.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Apply pressure to the lacrimal punctum after administering the drops.
When administering eye drops to a child, the nurse should apply gentle pressure to the lacrimal punctum (the small opening in the inner corner of the eye) after administering the drops. This can help prevent the medication from draining into the tear duct and being absorbed into the bloodstream, which can reduce systemic side effects.
Correct Answer is C
Explanation
A. Members of a health care team can share a computer password:
- Sharing computer passwords compromises security and violates client privacy. Each team member should have their unique login credentials for secure access.
B. A client is restricted from accessing his own medical records:
- Clients typically have rights to access their own medical records. Restricting their access without valid legal reasons violates their privacy rights.
C. Information regarding client health can be e-mailed if encrypted:
- This statement addresses the importance of secure electronic communication. Sending client health information via email should be done using encrypted methods to maintain confidentiality and prevent unauthorized access.
D. Unwanted printed health information can be discarded in a trash can:
- Disposing of health information in an unsecured manner, such as discarding it in a trash can, can lead to breaches of privacy. Proper disposal methods, such as shredding or using secure disposal bins, should be followed to maintain confidentiality.
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