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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A Reason:

"I should discuss this document with my family after I sign it. “This statement is accurate because it reflects the importance of discussing the advance directive document and the client's preferences with their family and healthcare providers after it has been signed. Advance directives are not set in stone, and clients can change their preferences or modify their advance directives if needed. It is essential for healthcare providers and family members to be aware of the client's wishes regarding medical decisions in case they are unable to communicate or make decisions in the future.

Choice B Reason:

"An attorney will need to notarize this document for it to be valid." While it's true that some legal documents may require notarization, advance directives typically don't need to be notarized to be valid. They often require witnesses rather than notarization.

Choice C Reason:

"I am not allowed to change my mind once I sign this document. “This statement is not accurate. Clients can change their minds and modify their advance directives at any time, as long as they have the capacity to do so. Advance directives are intended to reflect a person's current healthcare preferences.

Choice D Reason:

"My partner needs to be present when I sign this document." While it's important for the client to discuss their advance directives with their family or loved ones, the presence of a partner is not a requirement for the document to be valid. Advance directives primarily focus on the individual's healthcare preferences and choices.

A. Yellow patches in the mouth B. Brittle nails C. Night sweats D. Hearing loss

Correct Answer is A

Explanation

Choice A Reason:

Yellow patches in the mouth. Yellow patches in the mouth are indicative of a candida infection, specifically oral candidiasis, which is commonly known as thrush. Candida is a type of yeast that can overgrow in the mouth, leading to the development of creamy or yellowish-white patches on the tongue, inner cheeks, and other oral mucosal surfaces. These patches are often described as "cottage cheese-like" in appearance.

Choice B Reason:

Brittle nails are more commonly associated with conditions like fungal nail infections or nail trauma.

Choice C Reason:

Night sweats can occur for various reasons, including hormonal changes, infections, or underlying medical conditions, but they are not specific to candida infections.

Choice D Reason:

Hearing loss is not a typical symptom of candida infections but may be associated with ear infections or other ear-related conditions.

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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?

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Naxlex Comprehensive Predictor Exams

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