Exam Study Guide – Practice
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The nurse admits Raymond to a private room at the end of the hall. According
to hospital protocol, the nurse puts on a mask before starting the admission
process. Raymond tells the nurse that his significant other is downstairs and
that he would like for him to stay in the room w/ him. How should the nurse
respond? - Answer✔✔-He may stay, but he needs to wear a mask
Raymond's significant other, Brandon, arrives. Raymond wants to know why a
mask is necessary for people entering his room. What teaching should the
nurse implement? - Answer✔✔-Explain that the TB organism is most often
spread through the air
The UAP asks why Raymond could not be in an empty semiprivate room closer
to the nurse's station so the staff would not have to walk so far to provide care.
What information should the nurse provide to the UAP on infection control
, practices? - Answer✔✔-The implementation of airborne precautions for
possible TB requires a private, negative pressure room assignment
The nurse notices the UAP about to enter Raymond's room to deliver a meal
tray w/out wearing any protective apparel. What info should the nurse provide
to the UAP? - Answer✔✔-A mask is required for HC workers entering the room
of someone suspected of having active TB
An acid-fast bacilli (AFB) stain is part of the initial prescriptions. Early morning
sputum specimens will be collected for 3 consecutive days and sent to the lab.
Which tasks may the nurse delegate to the UAP? - Answer✔✔-- Have the UAP
tell Raymond that the specimen must be collected in the early morning
- Provide Raymond w/ 3 sterile specimen cups at his bedside
- Document the time and date that each sputum specimen was collected
Raymond is scheduled for several activities the following morning. Which
activity should Raymond perform 1st upon awakening? - Answer✔✔-Obtain
the 1st of 3 sputum specimens for lab testing
An LPN says to the nurse who is making assignments, "I do not want to be
assigned to care for Raymond. I have never cared for a client w/ HIV and do not
want to start now. I have a family at home that needs me". Which info should
the nurse base a response about the LPN's right to refuse care for a client w/
HIV? - Answer✔✔-The LPN may refuse to care for a client in circumstances in
which risk to the nurse outweighs the nurse's responsibility to care for a client,
or if the assignment conflicts w/ the nurse's ethical standards