A nurse is planning care for a patient who has been admitted due to severe coughing, night sweats, and blood in the sputum.
What precautions should the nurse take?
Wear a surgical mask when entering the patient’s room.
Place the patient in a negative-pressure airflow room.
Keep a container for soiled linens outside the patient’s door.
Remain within 3 feet of the patient.
The Correct Answer is B
Choice A rationale
Wearing a surgical mask when entering the patient’s room is a standard precaution for all healthcare workers, but it may not be sufficient for a patient with severe coughing, night sweats, and blood in the sputum. These symptoms could indicate a contagious disease such as tuberculosis, which requires airborne precautions.
Choice B rationale
Placing the patient in a negative-pressure airflow room is the correct action. This type of room is used for patients who may have airborne infectious diseases. The negative pressure prevents airborne pathogens from escaping the room and infecting others.
Choice C rationale
Keeping a container for soiled linens outside the patient’s door is not the most appropriate action in this situation. While it is important to handle soiled linens properly to prevent the spread of infection, it does not address the potential airborne transmission of pathogens.
Choice D rationale
Remaining within 3 feet of the patient is not the most appropriate action in this situation. If the patient has an airborne infectious disease, healthcare workers should minimize close contact to prevent exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Starting chest compressions is not the first action to take when a client’s cardiac monitor shows ventricular tachycardia. While chest compressions are a part of cardiopulmonary resuscitation (CPR), they are not the initial response to ventricular tachycardia.
Choice B rationale
Immediate defibrillation is the priority action when a client’s cardiac monitor shows ventricular tachycardia. Ventricular tachycardia is a life-threatening condition where the heart
beats too fast to effectively pump blood to the body. Defibrillation delivers an electrical shock to the heart, which aims to restore a normal heart rhythm.
Choice C rationale
Providing pulmonary ventilation is not the first action to take when a client’s cardiac monitor shows ventricular tachycardia. While ventilation is important, it is not the immediate priority in this situation.
Choice D rationale
Checking for a palpable pulse is not the first action to take when a client’s cardiac monitor shows ventricular tachycardia. While it is important to assess the client’s pulse, the priority is to restore a normal heart rhythm through defibrillation.
Correct Answer is A
Explanation
Choice A rationale
Choosing fortified foods containing vitamin B2 is a good practice. Vitamin B2, also known as riboflavin, is important for energy production and cellular function, and older adults may need more of this nutrient.
Choice B rationale
Decreasing fluid intake is not generally recommended for older adults. Adequate hydration is important for many body functions, including maintaining blood volume and preventing constipation.
Choice C rationale
Limiting intake of plant-based foods is not a healthy practice. Plant-based foods are rich in fiber, vitamins, and minerals, and they can help reduce the risk of chronic diseases.
Choice D rationale
Decreasing daily intake of protein is not generally recommended for older adults. Protein is essential for maintaining muscle mass, which tends to decrease with age.
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