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Question
What activities would most likely achieve the desired outcomes for this client? Which actions should be avoided or are potentially harmful? (Hint: Determine the desired outcomes first to decide which interventions are appropriate and those that should be avoided.) The most important short-term outcome for this client is to determine the cause of his respiratory symptoms. The nurse needs to ensure the client does not come into contact with other patients or visitors at this time. The nurse needs to avoid performing any activities with this client that could induce more coughing (e.g., forcing him to talk, making him laugh, etc) Which actions are the most appropriate and how should they be implemented? In what priority order should they be implemented? (Hint: Consider health teaching, documentation, requested health care provider orders or prescriptions, nursing skills, collaboration with or referral to health team members, etc.) Until a diagnosis is made, the nurse must treat this client as if he has active tuberculosis and immediately implement Airborne Precautions. The nurse needs to provide the client with paper tissues and a paper bag. He or she needs to instruct the client to cough and spit into the tissue and then place the tissue in the bag. The nurse needs to instruct the client to keep talking to a minimum and avoid laughing or singing. The nurse should notify the surgeon of the possibility of TB and request TB testing as soon as possible. With surgery planned for today, it is likely a chest x-ray has already been taken. The nurse should call the radiology department for a reading on the x-ray to determine if it indicates TB or pneumonia. If it has not yet been evaluated, the nurse needs to request a STAT reading. 5. What client assessment would indicate the nurse's actions were effective?
(Hint: Think about signs that would indicate an improvement, decline, or unchanged patient condition.) le client's respiratory condition is not likely to change quickly. Rather, behavioral changes are used to termine whether the action to reduce the risk for spread of an infectious disease is working, such.
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