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Exam NCLEX-PN topic 4 question 70 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 70
Topic #: 4
[All NCLEX-PN Questions]

The emergency triage nurse should perform which action upon receiving the history that a client has a severe cough, fever, night sweats, and body wasting?

  • A. Place the client in the waiting room until an available cubicle is open.
  • B. Seclude the client from other clients and visitors.
  • C. Perform no intervention because it might not be necessary until tests confirm a disease.
  • D. Don gown, gloves, and mask immediately.
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Suggested Answer: B 🗳️
The client is describing signs and symptoms of tuberculosis. The client is potentially infectious to others and should be secluded. A respirator mask should be worn by caregivers, but it is not necessary for the nurse to don a gown and gloves. If the client is moved to other areas such as radiology, a mask should be worn by the client and a respirator mask should be worn by those working in close contact with the client. Safety and Infection Control

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