A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?
Place the client in a private room with a special ventilation system.
Modify the protocol for donning and removing personal protective equipment before entering or leaving the client’s room.
Have staff and visitors wear gowns, masks, and gloves while in the client’s room.
Assign the client to a room with other clients who require droplet precautions.
The Correct Answer is A
A. Place the client in a private room with a special ventilation system.
The primary method to prevent the transmission of tuberculosis is to place the client in a negative pressure room with adequate ventilation. This helps to reduce the risk of airborne transmission of the Mycobacterium tuberculosis bacteria.
B. Modify the protocol for donning and removing personal protective equipment before entering or leaving the client’s room:
Standard precautions should be followed, but the primary emphasis is on airborne precautions due to the potential for airborne transmission of TB. Modifications to donning and removing PPE are not the main focus.
C. Have staff and visitors wear gowns, masks, and gloves while in the client’s room:
Airborne precautions are more specific for suspected active tuberculosis. While gowns, masks, and gloves may be used for other infectious diseases, the key precaution for TB is a private room with negative pressure ventilation.
D. Assign the client to a room with other clients who require droplet precautions:
Tuberculosis is primarily transmitted through airborne particles, not droplets. Placing the client in a room with droplet precautions is not sufficient to prevent the spread of tuberculosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased anteroposterior diameter of the chest
In emphysema, there is often hyperinflation of the lungs and destruction of the alveolar walls, leading to loss of lung elasticity. This results in increased air trapping and a characteristic "barrel chest" appearance, with an increased anteroposterior diameter.
B. Petechiae on chest:
Petechiae are small, red or purple spots caused by bleeding into the skin. They are not commonly associated with COPD and emphysema.
C. Oxygen saturation level 96%:
Oxygen saturation level of 96% is within the normal range. While oxygen saturation can be affected in COPD, the value provided is not indicative of severe hypoxemia.
D. Respiratory alkalosis:
Respiratory alkalosis is not typically associated with COPD and emphysema. In fact, respiratory acidosis is more commonly seen in these conditions due to impaired gas exchange and retention of carbon dioxide.
Correct Answer is C
Explanation
A. A client who is taking a thiazide diuretic:
Thiazide diuretics can cause loss of potassium and metabolic alkalosis, not metabolic acidosis.
B. A client who is vomiting:
Vomiting can lead to the loss of stomach acid (hydrochloric acid) and may result in metabolic alkalosis, not metabolic acidosis.
C. A client who has diarrhea.
Diarrhea can lead to the loss of bicarbonate, an important buffer in the body that helps maintain acid-base balance. The loss of bicarbonate in diarrhea can result in an excess of acid, contributing to metabolic acidosis.
D. A client who is having an acute anxiety attack:
Acute anxiety is not typically associated with metabolic acidosis. It is not directly related to changes in acid-base balance.
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