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The nurse is providing care to a patient who has tested positive for tuberculosis. The patient is moved into an airborne isolation room and the patient asks. "Why do I need to be moved into this new room?" How should the nurse respond?

"This new room has negative pressure and does six to twelve air changes an hour and disposes the air outside to reduce the infection potential in other patients. I also have to wear this surgical mask"

"It sounds like you have some questions about your new diagnosis. What are you most concerned about?"

"Tuberculosis can seriously impair the lungs and requires a long course of antibiotics to treat it

“Tuberculosis is a small particle that can spread through the air. This new room has a special filter that reduces the spread of the bacteria through the air."

Answer and Explanation

The Correct Answer is D

A. "This new room has negative pressure and does six to twelve air changes an hour and disposes the air outside to reduce the infection potential in other patients. I also have to wear this surgical mask."

While this provides technical information, the surgical mask part is incorrect; the nurse should wear an N95 respirator, not a surgical mask.

B. "It sounds like you have some questions about your new diagnosis. What are you most concerned about?"

While this is a therapeutic communication technique, it does not directly answer the patient's question about airborne precautions.

C. "Tuberculosis can seriously impair the lungs and requires a long course of antibiotics to treat it."

This statement provides disease information but does not explain why airborne isolation is necessary.

D. "Tuberculosis is a small particle that can spread through the air. This new room has a special filter that reduces the spread of the bacteria through the air."

This provides a concise and accurate explanation of airborne precautions in terms the patient can understand.

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Correct Answer is A

Explanation

A. 46-year-old with a low neutrophil count: Neutrophils are essential for fighting infection. A low neutrophil count (neutropenia) significantly increases infection risk, making this the highest-priority patient.

B. 59-year-old seven days post abdominal surgery: While postoperative patients are at risk for infection, the greatest risk is within the first few days after surgery. By day seven, the risk decreases if no signs of infection are present.

C. 82-year-old with a history of leukemia ten years ago: While leukemia can affect the immune system, a history of leukemia from ten years ago is less concerning than an active condition causing immunosuppression.

D. 62-year-old on antibiotic therapy: While antibiotics can disrupt normal flora and increase the risk of infections like Clostridioides difficile, this risk is lower than that of a patient with neutropenia.

A. Schedule an in person appointment with the provider for the next month. B. Setting up a telehealth visit for the patient. C. Assist the patient in arranging for transportation to and from the appointment D. Ensure that the patient has access to their patient portal

Correct Answer is ["B","D"]

Explanation

A. Schedule an in-person appointment with the provider for the next month: This does not address the challenge of frequent travel or accessibility.

B. Setting up a telehealth visit for the patient: Telehealth reduces travel burdens and allows for frequent monitoring without unnecessary trips.

C. Assist the patient in arranging for transportation to and from the appointment: Assisting the patient in arranging transportation can be beneficial, but telehealth visits offer a more sustainable solution for frequent appointments

D. Ensure that the patient has access to their patient portal: A patient portal allows for easy communication with providers, medication refills, and appointment scheduling.

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The nurse is providing care to a patient who has tested positive for tuberculosis. The patient is moved into an airborne isolation room and the patient asks. "Why do I need to be moved into this new room?" How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for the following patients. Which patient is at highest risk of developing an infection?

Correct Answer is A

Explanation

A patient lives in a rural area and requires frequent appointments related to their health condition. Which of the following interventions should the nurse facilitate?

Correct Answer is ["B","D"]

Explanation

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