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Practice Question

What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

Answer Choices:

Correct Answer:

Airborne precautions.

Rationale:

😷 Laryngeal tuberculosis (TB), like pulmonary TB, is spread through airborne transmission, meaning tiny droplet nuclei can remain suspended in the air and infect others when inhaled.

😷 Clients with suspected or confirmed laryngeal TB should be placed in airborne isolation, which includes a negative-pressure room and the use of N95 respirators or higher-level respiratory protection for healthcare workers.

😷 Airborne precautions are critical because laryngeal TB is highly infectious, especially when the client coughs, speaks, or breathes heavily, which can aerosolize bacteria.

😷 Implementing proper precautions prevents the spread of Mycobacterium tuberculosis to other clients and healthcare staff, particularly in enclosed or poorly ventilated areas.

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This question is from RN Community Health~2023 Exam 3 which contains 57 questions.

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Vital Signs• 2 days ago:0 Temperature: 387 C (1017 F)o Heart rate: 85/mino Respiratory rate: 18/mino Blood pressure: 115/72 mm Hg• Current:0 Temperature: 386 C (1018 F)o Heart rate: 82/mino Respiratory rate: 171mino Blood pressure: 118/76 mm HgA nurse in a public health department is caring for a client.Nurses' Notes• The client presents to the clinic for a new onset of headaches and chills. They returned from a trip to South Asia 3 days ago. The client has scattered, raised, pruritic lesions on their right leg and states, "They are flea bites; I got them when I was on my trip."Lungs are clear to auscultation bilaterally_• The client returns to the clinic for persistent fever, body aches, and a new onset of weakness. They state, "I noticed a bump in my groin last night, and it really hurt." Tender, inguinal lymphadenitis is present in the right groin. Lungs are clear to auscultation bilaterallyA nurse in a public health department is caring for a client.ExhibitsWhich of the following data in the client's medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.

Answer Choices:

A. Temperature
B. Client's statement about "bites"
C. Travel history
D. Lymph node assessment
E. Body aches
F. New onset of weakness
G. Headache and chills
H. Pruritic lesions on the right leg
I. Clear lungs to auscultation bilaterally
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Client 1An older adult client reports to the clinic for a painful rash. A cluster of papulovesicular lesions is present on the left side of the trunk. The client was evaluated by a provider and diagnosed with herpes zosterClient2A preschooler was brought in for a return visit following a fever.Laboratory results from one day ago show a lead level of 12 mcg/dL(normal is less than 3S mcg/dL) and a positive streptococcus test.Client 3An adolescent was brought in with a report of headache, fever, pain with swallowing, and a sore and red throat for three days. Vital signs are as follows: Temperature 38.8 C (101.80 F), Respiratory rate 20/min, Blood pressure 143/82 mm Hg, Oxygen saturation 95% on room air. Throat and nose culture show a positive streptococcusPyogenes rapid antigen detection screen.A nurse manager in a public health clinic is reviewing the charts of five recent clients.Client 4A client reports to the clinic for reading of a tuberculin skin test administered two days ago. They reported a two- week history of lethargy and recent travel to South America. Vital signs are as follows:Temperature 3840 C (101 V F), Heart rate 1181min, Respiratory rate 28/min, Oxygen saturation 93% on room air. Mantoux tuberculin skin testing shows a reddish induration greater than 10mm.A nurse manager in a public health clinic is reviewing the charts of five recent clients.ExhibitsThe nurse manager should identify which of the following clients as having conditions that require national notification? Please select all that apply:

Answer Choices:

A. Client 1
B. Client 2
C. Client 3
D. Client 4
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As a community health nurse developing a disaster-preparedness plan, what is the first action you should take?

Answer Choices:

A. Evaluate the effectiveness of local disaster preparedness drills.
B. Assemble an emergency disaster response team.
C. Provide education about first aid and triage.
D. Identify the community's risks and capabilities.
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When developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure, what information should be included?

Answer Choices:

A. The anthrax vaccine is ineffective following direct anthrax exposure.
B. Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax.
C. Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax
D. Manifestations of anthrax infection appear within 3 days of exposure.
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Which statement by a newly licensed nurse indicates an understanding of maintaining client confidentiality according to HIPAA regulations?

Answer Choices:

A. HIPAA rules vary from state to state.
B. A client's diagnosis can be posted on the communication board inside the client's room.
C. We should share our computer passwords with our manager.
D. HIPAA rules allow clients to receive a copy of their medical records.
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From Exam
RN Community Health~2023 Exam 3

57 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Community Health
  • Answer Choices: 4
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