Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne precautions?

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Question 1 of 5

Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne precautions?

Correct Answer: B

Rationale: A positive PPD with abnormal chest X-ray requires airborne precautions. It suggests active TB, per CDC guidelines, needing isolation. CMV , viral pneumonia , and carcinoma don't typically require airborne. B prevents TB spread.

Question 2 of 5

A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Fever suggests worsening infection or systemic spread, requiring urgent evaluation.

Question 3 of 5

The registered nurse (RN) is making decisions regarding client room assignments on a pediatric unit. Which possible roommate would be most appropriate for a 3 year-old child with minimal change nephrotic syndrome?

Correct Answer: C

Rationale: Post-surgical child has no infectious risk, unlike others with potential communicable diseases.

Question 4 of 5

A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the nurse to perform?

Correct Answer: B

Rationale: Digoxin slows heart rate; assessing apical pulse ensures it's not below 60 BPM, preventing bradycardia.

Question 5 of 5

The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse's immediate action?

Correct Answer: C

Rationale: Pain at the site suggests extravasation, risking tissue damage from vesicants.

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