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:
Determining the client's pattern for voiding. The reason why determining the client's pattern for voiding is the first step in implementing a bladder training program for a client who had a stroke is as follows:
Assessment: Before implementing any intervention, it's essential to assess the client's current bladder habits and patterns. Understanding when and how often the client typically voids, as well as any specific triggers or challenges they may have, is crucial information. This assessment helps the nurse create an individualized bladder training plan based on the client's unique needs.
Choice B Reason:
Assisting the client with relaxation techniques may be a helpful intervention in bladder training, but it should come after the assessment of the client's voiding pattern. Relaxation techniques can help the client manage urgency or anxiety related to bladder function, but they should be tailored to the client's specific needs.
Choice C Reason:
Discouraging intake of carbonated beverages is a dietary recommendation that can be a part of a bladder training plan, but it should be based on the client's assessment and preferences. It's important to assess the client's current fluid intake habits and any specific dietary triggers before making recommendations.
Choice D Reason:
Offering toileting opportunities every 1 to 2 hours is a potential intervention in a bladder training program, but it should also be based on the client's voiding pattern assessment. Implementing a toileting schedule without understanding the client's current habits may not be effective or necessary.
Correct Answer is D
Explanation
After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity. This is because during a seizure, the child's tongue may have been biten, or there may be other oral injuries. Therefore, it is essential to check the oral cavity for any injury or bleeding.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today