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
Choice A Reason:
Digoxin can produce alterations in the visual system of patients, such as reduced visual acuity, photophobia, and blurred or yellow vision.
Choice B Reason:
While tinnitus can occur with various medications, it's not a specific symptom of digoxin toxicity.
Choice C Reason:
Joint pain is incorrect. Joint pain is not a common symptom of digoxin toxicity.
Choice D Reason:
Constipation is incorrect. Constipation is not typically associated with digoxin toxicity either.
Correct Answer is ["B","C"]
Explanation
Choice A Reason:
Transfer a client who is receiving radiation therapy to radiology is not appropriate .Transferring a client receiving radiation therapy may involve specific safety considerations and precautions that should be performed by a healthcare professional with appropriate training.
Choice B Reason:
Measure vital signs for a client who requires contact precautions is appropriate. Measuring vital signs, such as taking temperature, blood pressure, heart rate, and respiratory rate, is a routine task that can be safely delegated to an AP.
Choice C Reason:
Record urine output for a client who has a suprapubic catheter is appropriate. Recording urine output is a straightforward task that can be delegated to an AP, provided they are trained in the proper technique for measuring and documenting urine output
Choice D Reason:
Plan care for a client who has dysphagia is incorrect. Planning care for a client with dysphagia involves assessment, evaluation, and coordination of care, which require the expertise of a licensed nurse or healthcare provider.
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