A nurse is providing discharge teaching about disease prevention to a client who has active tuberculosis. Which of the following should the nurse include?
Educating the client how to cover nose and mouth with tissues when coughing
Recommending the client may return to work after two negative sputum cultures
Instructing the client that he is no longer contagious after 1 week of medication therapy
Teaching the client's family to wear protective masks while with the client
The Correct Answer is A
A.
A. Educating the client on covering the nose and mouth with tissues when coughing helps prevent the spread of tuberculosis by containing respiratory secretions.
B. A client with active tuberculosis should not return to work until they have completed a sufficient duration of treatment and are deemed non-infectious, not solely based on negative sputum cultures.
C. The client remains contagious until they have been on appropriate medication therapy for a sufficient duration and are deemed non-infectious by healthcare providers, usually after several weeks of treatment rather than just one week.
D. While wearing protective masks may be recommended for healthcare workers or individuals with compromised immune systems, it's not necessary for the client's family members unless they are in close contact with the client for an extended period.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wearing an underwire bra between feedings can compress the breasts and potentially lead to mastitis. Nursing bras without underwire are recommended.
B. Covering the breasts immediately after feedings can trap moisture and promote bacterial growth, increasing the risk of mastitis.
C. Cold compresses can help relieve discomfort from engorgement, but applying them before feedings may hinder milk flow and emptying of the breasts, which could increase the risk of mastitis.
D. Ensuring the baby fully empties the breasts with each feeding helps prevent engorgement and decreases the risk of mastitis by promoting effective milk removal.
Correct Answer is A
Explanation
A.
A. Changing clothes after working in the field helps prevent pesticide residue from being transferred to other surfaces and reduces the risk of exposure to pesticides.
B. Applying petroleum jelly to the nostrils is not an effective method for minimizing exposure to pesticides and may not provide significant protection.
C. Wiping fruits and vegetables with a dry cloth may remove some surface dirt but is unlikely to effectively remove pesticide residues, especially if they have been absorbed into the produce.
D. Taking a hot shower after finishing work may help remove pesticide residues from the skin but does not address the potential for exposure from contaminated clothing or other surfaces.
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