A nurse is planning to admit a client who has hyperthyroidism. To which of the following rooms should the nurse assign this client?
A room with a laminar airflow filtration system
A room with a cool temperature
A room that has a private bathroom
A room near the nurses station
The Correct Answer is B
A. A room with a laminar airflow filtration system: Laminar airflow rooms are designed for clients who are immunocompromised to reduce exposure to airborne pathogens. Clients with hyperthyroidism do not require this level of infection control, so this room type is unnecessary.
B. A room with a cool temperature: Hyperthyroidism increases the client’s metabolic rate, which can lead to heat intolerance and excessive sweating. Assigning a room with a cooler temperature helps maintain comfort and prevent overheating, making it the most appropriate choice for this client.
C. A room that has a private bathroom: While a private bathroom may be convenient for some clients, it is not specifically necessary for hyperthyroidism. The client’s primary needs relate to temperature control and symptom management rather than isolation or frequent toileting.
D. A room near the nurses’ station: Proximity to the nurses’ station is helpful for clients requiring close monitoring, but a client with stable hyperthyroidism does not typically need continuous observation. Room placement near the station is not the priority compared to maintaining a comfortable ambient temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","F"]
Explanation
A. Apply internal fetal monitor: An internal fetal monitor is used to assess fetal heart rate and contractions in a viable pregnancy. In this case, the client has a molar pregnancy with no viable fetus, so fetal monitoring is not appropriate and provides no clinical benefit.
B. Prepare client for dilation and curettage with suction: Suction dilation and curettage (D&C) is the primary treatment for a molar pregnancy to remove abnormal trophoblastic tissue. Planning for this procedure is essential to prevent complications such as hemorrhage, persistent gestational trophoblastic disease, and infection.
C. Administer 1 hr glucose tolerance test: Glucose screening is not indicated at this time. The client is only 20 weeks gestation and is being managed for a molar pregnancy, not for routine prenatal care or gestational diabetes screening. This test is not a priority.
D. Refer client to perinatal loss support group: A molar pregnancy is considered a pregnancy loss, and the client may experience emotional distress. Referral to a perinatal loss support group provides psychological support and helps the client cope with grief and anxiety associated with this event.
E. Provide the client with instructions on medroxyprogesterone therapy: Medroxyprogesterone therapy is not indicated for managing a molar pregnancy. Contraception may be discussed after treatment, but this is not an immediate priority during acute management of the condition.
F. Administer Rho(D) immune globulin: The client is Rh-negative, and any procedure that may cause fetomaternal hemorrhage, such as D&C, requires administration of Rho(D) immune globulin to prevent isoimmunization in future pregnancies. This is a critical prophylactic intervention in Rh-negative clients.
Correct Answer is D
Explanation
A. Candidiasis: Candidiasis is a common fungal infection and is not a nationally notifiable disease. Reporting to the CDC is not required for routine cases.
B. Pelvic inflammatory disease: PID is a complication of sexually transmitted infections, but it itself is not a reportable condition. The underlying infection, if it is a notifiable STI, may need to be reported instead.
C. Methicillin-resistant Staphylococcus aureus: MRSA infections acquired in the community or healthcare settings are not universally reportable to the CDC. Reporting requirements vary by state, but MRSA is generally monitored rather than mandatorily reported nationally.
D. Syphilis: Syphilis is a nationally notifiable sexually transmitted infection. Cases must be reported to local and state health departments, which then notify the CDC. This allows for public health tracking, contact tracing, and prevention of further transmission.
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