The nurse is caring for a patient with tuberculosis. What airborne precautions should the nurse take while caring for this patient? (Select all that apply.)
a. Private patient room
b. Semiprivate patient room
c. Closed patient room door
d. Individualized respiratory mask
e. One-size-fits-all respiratory mask
____
ANS: A, C, D
When caring for patients with tuberculosis, wear an individually fit-tested N95 or HEPA respirator. HEPA respirators filter the tiniest particles from the air, unlike surgical masks, which can allow such particles to pass into the respiratory system of a host. The patient must be in a private isolation room with the door closed. The mask must be individually fitted to ensure adequate protection. B. A private room is required. E. A one-size-fits-all respiratory mask is not adequate when caring for a patient with tuberculosis.
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The nurse assesses a client's wound to be in the reconstructive phase of healing. This phase starts:
a. on the 3rd or 4th day after injury and lasts for 2 to 3 weeks. b. within 24 hours after the injury occurs. c. when a wound is clean and not infected. d. about the 21st day and may continue for 2 years or more.
What should a nurse bring to the home visit when first going to the apartment of a new admission whose referral sheet was essentially blank?
A. Everything that might possibly be needed B. Liquid soap packets, paper towels, newspapers, and basic assessment tools C. Nothing; the nurse should not enter the apartment but should ask the client to sit on the front step until the nurse has had an opportunity to assess the situation D. Nothing but agency forms and a pen
During the mental status examination, a client may be asked to explain such proverbs as "Don't cry over spilled milk." The purpose is to evaluate the client's ability to think:
A. rationally. B. concretely. C. abstractly. D. tangentially.
The nurse uses the external electronic fetal heart monitor to evaluate fetal status. The fetal heart tracing shows accelerations. Accelerations in the fetal heart are:
a. Associated with fetal well-being and oxygenation b. An indication of potential fetal intolerance to labor c. Never associated with the uterine contraction pattern d. A reason to notify the care provider