Complete the following sentence by using the list of options.
The nurse should wear an
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Rationale for correct choices:
• N95 respirator: Mycobacterium tuberculosis is transmitted via airborne particles that remain suspended in the air. An N95 respirator is required to filter airborne droplet nuclei and protect the nurse from inhalation exposure. Standard surgical masks do not provide adequate airborne protection in confirmed TB cases.
• Gloves: As part of Standard Precautions, gloves should always be worn when there is a risk of contact with body fluids, such as sputum or contaminated surfaces in the client's room.
Rationale for incorrect choices:
• Surgical mask: A surgical mask protects against large respiratory droplets but does not filter airborne particles. TB requires airborne precautions, which exceed the level of protection provided by a standard mask. Surgical masks are more appropriate for droplet-based infections.
• Face shield: A face shield protects mucous membranes from splashes or sprays but does not filter inhaled air. TB does not spread via splashes, making this equipment unnecessary for routine airborne precautions. Respiratory protection remains the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Droplet precautions: Droplet precautions are used for infections transmitted by large respiratory droplets, such as influenza or pertussis. Herpes simplex is not spread through respiratory droplets, so droplet precautions are not necessary.
B. Protective environment: A protective environment is designed to protect immunocompromised clients from acquiring infections. It is not used for clients who are infectious, such as those with herpes simplex.
C. Contact precautions: Herpes simplex virus is transmitted via direct contact with lesions or infected bodily fluids. Contact precautions, including wearing gloves and gowns and proper hand hygiene, prevent transmission to healthcare workers and other clients.
D. Airborne precautions: Airborne precautions are reserved for infections transmitted via small droplet nuclei, such as tuberculosis or measles. Herpes simplex does not spread through the airborne route, so these precautions are unnecessary.
Correct Answer is C
Explanation
A. Weight loss: Weight loss is more commonly associated with dehydration or inadequate nutritional intake. In fluid overload, clients typically demonstrate weight gain due to excess fluid retention.
B. Decreased skin turgor: Decreased skin turgor is a sign of fluid volume deficit rather than excess. Fluid overload usually presents with edema and taut skin rather than reduced elasticity.
C. Crackles heard in the lungs: Crackles indicate fluid accumulation in the alveoli and are a classic sign of fluid overload. This finding suggests pulmonary congestion and requires prompt assessment and intervention.
D. Decreased blood pressure: Fluid overload is more likely to cause increased or normal blood pressure due to expanded intravascular volume. Decreased blood pressure is more consistent with hypovolemia or shock states.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.