A patient on your unit is found to have pulmonary tuberculosis (TB). What is the most appropriate precaution for the staff to take to prevent transmission of TB?
A) Standard precautions only
B) Standard and droplet precautions
C) Standard and contact precautions
D) Standard and airborne precautions
Ans: D
Feedback: Airborne precautions are required for proven or suspected pulmonary TB. Standard precaution techniques are used in conjunction with the transmission-based precautions.
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The nurse has just changed a client's surgical dressing. Which action by the nurse would follow standard precaution guidelines for proper disposal of contaminated materials?
1. The old dressing is discarded in the trash can. 2. The unsoiled disposable gown is removed and discarded in the hazardous waste container. 3. The gloves are discarded in the trash can. 4. The mask is discarded in the trash can.
The nurse is caring for a client who has elevated TSH concentrations. The nurse understands that which of the following has most likely caused this rise in TSH?
A) Intake of excessive amounts of carbohydrates without adequate fiber B) Consumption of excessive amounts of processed foods with iodine C) Absence of an active lifestyle coupled with adequate exercise D) Ingestion of excessive amounts of fortified grain products
E.B. returns from surgery with the right residual limb dressed with gauze and an elastic wrap. The dressing is dry and intact, without drainage. He is drowsy with the following vital signs: 142/80, 96, 14, 97.9° F
(36.6° C), Spo2 92%. He is receiving a maintenance intravenous (IV) infusion of d5NS at 125 mL/hr in his right forearm. The surgeon has written to keep E.B.'s residual limb elevated on pillows for 48 hours; after that, have him lie in a prone position for 15 minutes, four times a day. In teaching E.B. about his care, how will you explain the rationale for these orders? What will be an ideal response?
A nurse informs a patient that her blood pressure is 128/78. The patient asks what the number 128 means. What is the nurse's appropriate response? The 128 represents the pressure in your blood vessels when:
a. "The ventricles relax and the aortic and pulmonic valves open." b. "The ventricles contract and the mitral and tricuspid valves close." c. "The ventricles contract and the mitral and tricuspid valves open." d. "The ventricles relax and the aortic and pulmonic valves close."