A nurse is preparing for the admission of a client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?
Have staff and visitors wear gowns, masks, and gloves while in the client's room.
Modify the protocol for donning and removing personal protective equipment before entering or leaving the client's room.
Assign the client to a room with other clients who require droplet precautions.
Place the client in a private room with a special ventilation system.
The Correct Answer is D
A. Gowns and gloves are not required for TB precautions; a mask is necessary to protect against airborne transmission.
B. Standard protocols for personal protective equipment (PPE) should be followed, but they do not specifically address the need for specialized precautions in TB care.
C. Clients with TB should not be placed in a room with others, even those requiring droplet precautions, due to the risk of airborne transmission.
D. A private room with a special ventilation system, such as negative pressure, is essential for isolating clients with active TB to prevent airborne transmission.
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Related Questions
Correct Answer is C
Explanation
A. New pajamas are generally not a risk for infection and do not pose a significant threat to an immunosuppressed patient.
B. Well-done meat is safe for consumption and does not pose an infection risk in this context.
C. A potted plant can harbor soil-borne bacteria and fungi, posing a risk of infection to immunosuppressed patients and should be avoided.
D. A new iPad from the online store is unlikely to introduce infection and does not pose a significant risk.
Correct Answer is A
Explanation
A. Chvostek's sign is a test for tetany, which is associated with hypocalcemia. The tingling sensation reported by the client is indicative of low calcium levels, and Chvostek's sign involves tapping the facial nerve to see if it triggers facial twitching, which is a sign of hypocalcemia.
B. Kernig's sign is used to assess for meningitis and is not related to hypocalcemia. It involves checking for resistance or pain when extending the leg while the hip is flexed.
C. Babinski's sign is used to assess for neurological conditions and is not related to hypocalcemia. It involves stroking the sole of the foot to check for abnormal reflex responses.
D. Brudzinski's sign is used to assess for meningitis and involves checking for involuntary flexion of the knees and hips when the neck is flexed. It is not related to the symptoms of hypocalcemia.
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