Raymond's significant other arrives. Raymond wants to know why a mask is necessary for people entering his room. What teaching should the nurse implement?
A. explain use of private room and mobile high-efficiency particle filters placed in the room
B. explain that the TB organism is most often spread through the air
C. tell Raymond that TB will not spread to others and everything will be okay if the mask is worn
D. tell Raymond that masks are required for those persons who do not agree to be vaccinated with BCG vaccine.
Answer: B. explain that the TB organism is most often spread through the air
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The sign that would be a contraindication for the need of increased fluid intake for the patient with a hepatic disorder is:
1. low blood pressure. 2. increased urinary output. 3. signs of edema. 4. bradycardia.
The nursing student asks the nurse for an example of a "never event." Which example provided by the nurse best answers the nursing student's question?
A) The client scheduled for a cholecystectomy has a total abdominal hysterectomy. B) The client receives preoperative medication before signing the informed consent. C) The client receives a medication and develops a rash on the trunk of the body, itching, and dyspnea. D) The client fails to receive a regularly scheduled medication.
You ask J.F. whether she is ready for her bath and she responds positively. you let her bathe the parts shecan reach and engage her in a conversation as you attend to the rest of her body
While performing perineal care, you notice that the folds of skin around her perineal area are reddened and excoriated. What is the likely cause of the problem and what needs to be done to encourage healing?
Analysis of the results of tonometry has resulted in a diagnosis of glaucoma, and the patient has been prescribed a regimen of therapeutic medications. The nurse is aware that the primary goal of these medications is to:
A) Decrease intraocular pressure (IOP) B) Maintain the integrity of the cornea C) Decrease inflammation D) Support normal function of the lacrimal glands