A public health nurse is caring for a group of clients who experienced mold exposure in their home environment. Which of the following clients should the nurse identify as at risk for adverse effects of mold overgrowth?
A client who has dementia
A client who has osteoarthritis
A client who has cystic fibrosis
A client who has chronic hypertension
The Correct Answer is C
Rationale:
A. A client who has dementia: Dementia affects cognitive function but does not inherently increase susceptibility to respiratory complications from mold exposure. While general health monitoring is important, this client is not at high risk for mold-related adverse effects.
B. A client who has osteoarthritis: Osteoarthritis primarily affects joints and mobility. It does not compromise the respiratory system or immune response in a way that would increase vulnerability to mold exposure.
C. A client who has cystic fibrosis: Clients with cystic fibrosis have impaired mucociliary clearance and chronic respiratory vulnerability, making them more susceptible to respiratory infections and complications from environmental mold exposure. Mold inhalation can exacerbate pulmonary symptoms and lead to significant health risks.
D. A client who has chronic hypertension: Hypertension affects the cardiovascular system but does not directly increase susceptibility to respiratory complications from mold. This client is not considered high risk for adverse effects from mold exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Respiratory therapist: A respiratory therapist is essential in arranging home oxygen by evaluating the client’s respiratory needs, determining appropriate oxygen flow rates, and ensuring proper use of equipment. They also provide education on safety and maintenance, which is critical for clients newly diagnosed with COPD who must manage oxygen therapy at home.
B. Physical therapist: A physical therapist focuses on mobility and strength training, which can benefit clients with COPD but is not directly responsible for arranging or coordinating home oxygen therapy. Their role becomes more relevant after respiratory support is established and the client begins working on endurance and safe activity levels.
C. Social worker: A social worker assists with social support, financial resources, and coping needs but is not typically involved in arranging clinical respiratory equipment. Their involvement may be helpful later if the client requires community services, but they are not the primary referral for initiating oxygen therapy.
D. Case manager: A case manager plays a key role in long-term discharge planning and may eventually coordinate services, but the immediate need for oxygen setup requires a respiratory therapist’s specialized assessment. Once the respiratory plan is initiated, the case manager can support broader continuity of care needs.
Correct Answer is ["A","B","C"]
Explanation
Rationale:
A. Wear a dosimeter film badge to measure exposure: Nurses providing care to clients with sealed radiation implants must monitor cumulative radiation exposure. Wearing a dosimeter badge ensures safety and compliance with occupational exposure limits.
B. Place a caution sign on the client's door: Posting a radiation warning sign alerts staff and visitors to the presence of a radioactive source. This precaution helps prevent accidental exposure and ensures that only authorized personnel enter the room.
C. Don a lead apron when providing care: Lead aprons reduce radiation exposure when performing close-contact procedures or bedside care. Using personal protective equipment is essential for minimizing occupational risk.
D. Discard bed linens from the client's room at the end of each day: Sealed radiation implants emit low levels of radiation and do not contaminate linens. Routine disposal of linens is unnecessary and could generate unnecessary waste. Standard laundering procedures are sufficient.
E. Instruct visitors to remain 61 cm (2 feet) away from the client: Visitors are generally instructed to maintain a greater distance, typically at least 6 feet (1.8 meters), and limit time in the room to reduce exposure. A distance of 2 feet is insufficient for safety.
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