The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

Place a N95 mask on the patient.

Place a surgical mask on the patient.

Be sure the patient is wearing a protective gown.

Instruct the patient to wear gloves to radiology.

Answer and Explanation

The Correct Answer is A

A.   Place a N95 mask on the patient: Tuberculosis (TB) is an airborne infectious disease, and N95 masks are specifically designed to filter out airborne particles, including those that may carry TB bacteria. Therefore, placing an N95 mask on the patient helps prevent the spread of TB to others during transportation.

B.   Place a surgical mask on the patient: While a surgical mask may provide some level of
protection, it is not as effective as an N95 mask in filtering out airborne particles, particularly those associated with TB transmission.
C.   Be sure the patient is wearing a protective gown: Protective gowns are typically used to
prevent the transmission of infection through contact with body fluids or contaminated surfaces. However, in the case of TB, airborne precautions, including respiratory protection with masks, are more crucial.
D.   Instruct the patient to wear gloves to radiology: Gloves are not necessary for respiratory protection against TB during transportation to radiology.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"B"}}

Explanation

Place the client in a private room.
- Essential: Placing the client in a private room helps prevent the spread of MRSA to other patients and reduces the risk of transmission.
Administer intravenous vancomycin.
- Essential: Vancomycin is an appropriate antibiotic choice for treating MRSA infections, and administering it intravenously allows for effective delivery of the medication to combat the infection.
Wear a cover gown when caring for the client.
- Essential: Wearing a cover gown provides an additional barrier of protection against potential contact with the client's infected wound and helps prevent transmission of MRSA to healthcare workers and other patients.
Restrict fluid intake.
- Contraindicated: Restricting fluid intake is not indicated in this scenario. Adequate hydration is essential for supporting the body's immune response and maintaining organ function, especially in the presence of fever and infection.
Initiate supplemental oxygen.
- Nonessential: Supplemental oxygen is not indicated based on the client's oxygen saturation of 96% on room air. Oxygen supplementation is typically reserved for clients who are hypoxic or experiencing respiratory distress, which is not the case here.

A. Povidone-iodine B. Alcohol-based antiseptic C. Chlorhexidine D. Soap and water

Correct Answer is D

Explanation

A. Povidone-iodine: Povidone-iodine is an antiseptic agent used for skin disinfection but is not recommended for routine hand hygiene, especially in cases of Clostridium difficile infection.

B. Alcohol-based antiseptic: While alcohol-based hand sanitizers are effective for most routine hand hygiene situations, they may not be sufficient for removing spores of Clostridium difficile. Soap and water are preferred for hand hygiene in cases of C. difficile infection.
C. Chlorhexidine: Chlorhexidine is an antiseptic agent commonly used for skin disinfection, but like alcohol-based hand sanitizers, it may not effectively remove C. difficile spores. Soap and water are preferred.

D. Soap and water: Soap and water are recommended for hand hygiene in cases of Clostridium difficile infection because mechanical friction from hand washing helps physically remove
spores from the hands.

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The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential. nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"B"}}

Explanation

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

Correct Answer is D

Explanation

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