The nurse is caring for a 48-year-old-client admitted with complaints of fatigue and hemoptysis, but no other significant medical history. Social history includes smoking 1 pack/day x 20 years and occasional alcohol use. He denies taking any medication. The Mantoux test placed 72 hours earlier reveals an indurated area of 4 cm. Which action will the nurse plan to include in the care for this client?
Prepare to administer intravenous (IV) antibiotics
Prepare client for computerized.tomography (CT scan)
Prepare to start oxygen therapy
Place client in airborne isolation
The Correct Answer is D
The client's complaint of hemoptysis (coughing up blood) and a positive Mantoux test (4 cm induration) suggest the possibility of tuberculosis (TB) infection. TB is an airborne infectious disease, and placing the client in airborne isolation is necessary to prevent the spread of the infection to others.
Antibiotics may be used to treat tuberculosis, but the initial step would be to isolate the client and confirm the diagnosis before starting specific treatment.
A CT scan may be ordered to further evaluate the client's condition, but it is not the immediate action required in this case. Isolation and confirmation of the diagnosis take priority. While the client may require oxygen therapy based on their respiratory symptoms, it is not the primary action to take at this stage. Isolation and further evaluation are necessary before initiating specific treatments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
After rhinoplasty, nasal packing is often used to control bleeding and provide support to the nasal structures. Nasal packing can cause oral dryness, as it obstructs the normal airflow through the nasal passages, leading to mouth breathing. Mouth breathing, in turn, can cause dryness of the oral mucosa and throat, resulting in the sensation of dryness and the need to swallow frequently.
While bleeding is a possible complication after rhinoplasty, the patient's symptom of frequent swallowing is more indicative of oral dryness rather than bleeding.
Although adverse reactions to analgesics can occur, frequent swallowing is not a common symptom associated with analgesic adverse reactions. Other signs such as rash, difficulty breathing, or changes in vital signs would be more typical in case of an adverse reaction. Swallowing can be a normal response to surgery, but in this scenario, the most likely cause is the oral dryness caused by the nasal packing rather than a direct response to the analgesic.

Correct Answer is B
Explanation
Rhinoplasty is a surgical procedure performed on the nose, and it often involves the placement of nasal packing to control bleeding, support the nasal structures, and promote healing. Nasal packing can cause mouth breathing and oral dryness, which can lead to increased swallowing as the patient tries to alleviate the discomfort.
While bleeding posterior to the nasal packing is a potential complication of rhinoplasty, it typically presents with other symptoms such as active bleeding, nasal discharge, or changes in vital signs. Without additional information or signs of active bleeding, it is less likely to be the cause of the patient's frequent swallowing in this scenario.
An adverse reaction to the analgesic is possible, but it would typically present with other symptoms such as allergic reactions (rash, swelling, difficulty breathing) or gastrointestinal symptoms (nausea, vomiting). In the absence of these symptoms, an adverse reaction to the analgesic is less likely.
Lastly, a normal response to the analgesic and surgery would not typically manifest as frequent swallowing. While pain medication can cause side effects, such as drowsiness or nausea, increased swallowing is not a common response.
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