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. Pancrelipase is used for enzyme replacement therapy in chronic pancreatitis, not acute pancreatitis. In acute pancreatitis, the focus is on rest and managing symptoms rather than enzyme supplementation.
B. Initiating a low-residue diet is not appropriate during the acute phase of pancreatitis. Clients are typically NPO or on a clear liquid diet initially to allow the pancreas to rest and heal.
C. Pantoprazole is a proton pump inhibitor that reduces gastric acid production and is commonly used to prevent stress ulcers and manage symptoms in clients with acute pancreatitis. Reducing gastric acid helps in managing complications associated with pancreatitis.
D. Ambulation is generally encouraged once the client is stable but is not a primary prescription for acute pancreatitis. The initial focus is on managing symptoms and ensuring adequate rest.
Correct Answer is B
Explanation
A. Xerostomia, or dry mouth, can occur due to various causes, including medications, but it is not an infectious condition linked directly to AIDS.
B. Candidiasis, or oral thrush, is a common opportunistic infection in clients with AIDS due to their weakened immune system and low CD4-T-cell count. It is caused by the overgrowth of Candida species in the mouth.
C. Gingivitis, an inflammation of the gums, can occur in immunocompromised individuals but is not as specific or common in AIDS as candidiasis.
D. Halitosis, or bad breath, can be a symptom of various conditions, including oral infections, but it is not a specific infectious condition associated with AIDS like candidiasis is.
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