The admitting department alerts the nurse in a medical–surgical unit that a patient with active tuberculosis (TB) is being admitted to the unit. Which type of precautions should be the priority based upon the patient's diagnosis?
1. Airborne
2. Standard
3. Droplet
4. Contact
Airborne
Rationale: While all precautions are important, airborne precautions are designed to protect against infectious agents that are transmitted through particles that remain suspended in the air and can become inhaled or deposited on a host, as seen with tuberculosis. Standard precautions are designed to reduce the risk of transmission of pathogens from blood and body fluids containing blood. Droplet precautions protect against the risk of transmission of infection through the air from droplets that travel short distances, generated through talking, coughing, or sneezing. Contact precautions reduce the risk of organism transmission through direct or indirect contact such as by shaking hands or touching an inanimate object in the patient's environment.
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A client reports being allergic to codeine. The nurse asks the client about the specific problem, and the client reports that she becomes nauseous. The nurse explains that this is not an allergy but:
1. An untoward effect. 2. An adverse effect. 3. Acute toxic reaction. 4. Chronic toxicity.
After a class on global health and the role of community health nurses, which of the following, if stated by the class as an important area, would indicate successful teaching?
A) It is through community health nurses that the larger number of physicians do their work. B) Community health nurses work for lower wages than other professional health care groups. C) Community health nurses outnumber other professional groups for providing health services. D) Community health nurses are the primary group trusted by people in other countries for care.
A child has been recently diagnosed with mild IDD. What information about this diagnosis should the nurse include when teaching the child's mother?
1. Children with mild IDD need constant supervision. 2. Children with mild IDD develop academic skills up to a sixth-grade level. 3. Children with mild IDD appear different from their peers. 4. Children with mild IDD have significant sensory-motor impairment.
The nurse is identifying outcomes for care provided to a new mother whose infant continues to spit up after feedings. Which outcome would be the most appropriate?
A) The baby will have forceful episodes of vomitus only once a day. B) The baby will have less episodes of spitting up after sitting upright after a feeding. C) The baby will spit up a large amount of vomitus only after the last feeding of the day. D) The baby will have fewer episodes of spitting up when the type of formula is changed.