The admitting department alerts the nurse on a medical-surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Which type of isolation is appropriate based on the client's diagnosis?

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Question 1 of 5

The admitting department alerts the nurse on a medical-surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Which type of isolation is appropriate based on the client's diagnosis?

Correct Answer: B

Rationale: In addition to handwashing and standard precautions, the nature and spread of some infectious diseases require that special techniques be used to protect uninfected clients and workers. The client with pulmonary tuberculosis will be placed in airborne precautions. The client should be placed in a private room with special ventilation that does not allow air to circulate to general hospital ventilation; a mask or special filter respirators will be used for everyone entering the room.

Question 2 of 5

While preparing for the discharge of an elderly, terminally ill client, the family asks for information concerning the most appropriate time to become involved with a hospice agency. What action by the nurse is most correct?

Correct Answer: A

Rationale: Hospice agencies provide vital services to clients facing death and their families. Prompt referral is appropriate for elderly clients to ensure support is available when needed.

Question 3 of 5

The nurse is obtaining a health history on a client complaining of recent-onset impotence. During the interview, which of the following questions will be most beneficial in identifying a potential cause of the manifestation?

Correct Answer: C

Rationale: A health history can reveal underlying causes of impotence (e.g., diabetes, hypertension). Open-ended questions about diseases provide the most insight.

Question 4 of 5

During a gynecological examination and testing, a female client is diagnosed with a Chlamydial infection. The client denies any symptoms of the disease, and asks when she contracted the disease. What information should be provided to the client?

Correct Answer: C

Rationale: Chlamydia can remain asymptomatic for months or years, making the duration of infection indefinite without symptoms.

Question 5 of 5

When transferring a client into a chair, a nurse notices that the pressure-relieving mattress overlay has deep imprints of the client's buttocks, heels, and scapulae. Which action should the nurse take next?

Correct Answer: C

Rationale: Bottoming out, as evidenced by deep imprints, indicates that this device is not appropriate, and a different device should be implemented to prevent pressure ulcer formation.

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