The nurse is working on an infectious disease unit.
Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?
A client with a positive Mantoux and sputum cultures results positive for acid-fast bacillus (AFB).
An older client with scabies who is admitted from an extended care facility.
Twin siblings admitted with scarlet fever that is complicated with pneumonia.
A female adolescent admitted with multiple genital Herpes simplex II lesions.
The Correct Answer is A
Choice A rationale
A client with a positive Mantoux test and sputum cultures positive for acid-fast bacillus (AFB) is indicative of tuberculosis, an airborne disease. This client would require a room with negative airflow, use of a particulate respirator mask, and adherence to airborne as well as standard precautions.
Choice B rationale
Scabies is a skin infestation caused by a mite. It is transmitted through direct skin-to-skin contact and does not require airborne precautions.
Choice C rationale
Scarlet fever is a bacterial illness that often presents with a rash and is associated with strep throat. It is spread by direct contact with mucus, saliva, or skin sores of a person infected with the bacteria. It does not require airborne precautions.
Choice D rationale
Herpes simplex II lesions are typically sexually transmitted and do not require airborne precautions. Standard precautions would be sufficient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E","F","G","H","J"]
Explanation
Based on the provided information, the following assessment findings require immediate follow-up by the nurse:
- Difficulty breathing on a hike: This is a significant symptom of asthma exacerbation and needs immediate attention.
- Symptoms did not resolve after taking albuterol: Albuterol is a quick-relief medication for asthma symptoms. If symptoms do not improve after its use, it indicates that the asthma exacerbation is severe.
- Mild subcostal retractions: This is a sign of respiratory distress and indicates that the client is using accessory muscles to breathe.
- Wheezes noted throughout the lung fields: Wheezing is a common sign of asthma and indicates airway obstruction.
- The client is pale: Paleness can be a sign of decreased oxygenation.
- Heart rate of 122 beats/minute: A high heart rate can be a sign of distress or could be due to the body’s attempt to compensate for decreased oxygenation.
- Oxygen saturation of 91% on room air: Normal oxygen saturation is typically 95% or higher. A saturation of 91% indicates that the client is not getting enough oxygen.
Correct Answer is C
Explanation
Choice C rationale
In a hurricane disaster medical area, drinking water contaminated by sewage is a common source of contamination that could lead to diarrhea. Hurricanes and severe storms often result in flooding, which can contaminate drinking water supplies with sewage and other pollutants. This can lead to the spread of waterborne diseases, including those that cause diarrhea. Type 2 diabetes Explore
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