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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. While monitoring for side effects of immunosuppressants is important, the immediate priority is managing the risk associated with the primary condition.
B. Constipation is a common issue but is not the primary concern in the context of ITP.
C. Fatigue may be related to anemia or other factors but is secondary to the risk of bleeding in ITP.
D. Bleeding is the priority concern in ITP due to the low platelet count, which increases the risk of hemorrhage and requires careful monitoring and intervention.

A. A self-report pain rating scale B. Scheduled treatments and client illness C. Behavioral indicators and effect D. Pulse and blood pressure findings

Correct Answer is C

Explanation

A. A self-report pain rating scale is not effective for clients with expressive aphasia as they may have difficulty communicating verbally. Alternative methods are needed to assess pain in these clients.

B. Scheduled treatments and client illness are not direct methods for assessing pain levels. They provide context but do not directly measure pain.

C. Behavioral indicators and effect are crucial for assessing pain in clients with expressive aphasia. Observing changes in behavior and facial expressions can help identify discomfort when verbal communication is not possible.

D. Pulse and blood pressure findings can be influenced by pain but are not specific indicators of pain level. Behavioral observations are more direct and reliable in clients with communication difficulties.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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