The nurse reviews the client's test results.
Complete the following sentence by using the list of options.
The nurse should and
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}
When interpreting test results, particularly for an infectious disease like tuberculosis (TB), the nurse must prioritize specific infection control measures to prevent the spread of the disease.
The correct actions are:
- Wear an N95 respirator mask: This mask is essential for protecting the nurse and others from inhaling airborne pathogens that the client with TB might expel.
- Place the client in a room with negative air pressure: This type of room ensures that airborne contaminants do not escape into the hallway or other areas, thereby containing the infection and protecting others in the healthcare facility.
These measures are critical in managing the spread of TB and ensuring the safety of both healthcare workers and other patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Stevens-Johnson syndrome (SJS) is a severe and potentially life-threatening skin reaction that can occur as a rare but serious side effect of allopurinol. The initial symptom often presents as a skin rash, which can progress rapidly and involve other mucous membranes such as the mouth and eyes. Fever is commonly associated with SJS.
Diplopia (double vision) is not a typical symptom of SJS. It refers to seeing two images instead of one and can be caused by various factors unrelated to allopurinol or SJS.
Tinnitus with ear pain is not a characteristic symptom of SJS. It usually relates to issues with the auditory system, such as damage to the inner ear or other underlying conditions.
Hyperreflexia (exaggerated reflexes) is not directly associated with SJS. It typically refers to an abnormal increase in the body's reflex responses and can be caused by conditions affecting the central nervous system or spinal cord.
Correct Answer is A
Explanation
A.Securing the tubing to the child's abdomen helps prevent accidental dislodgement or pulling of the gastrostomy tube. This can be done using appropriate securing devices, such as adhesive dressings or commercially available tube holders, as recommended by the healthcare provider.
B.Taping the tube to the child's cheek is not a recommended practice. It can cause skin irritation, discomfort, or even accidental removal of the tube. Proper securing of the tube to the abdomen using appropriate devices is the preferred method to prevent dislodgement.
C.Some gastrostomy tubes require an extension set for feeding, especially low-profile devices (e.g., button-type gastrostomy tubes). This extension makes it easier to administer feeds or medications and can be removed afterward. However, this is not typically part of routine site care.
D.Applying lubricant to the site is not necessary or recommended. The gastrostomy tube should be kept clean and dry. If any secretions or debris are present, they should be gently cleaned with mild soap and water, followed by thorough rinsing and drying.
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