. A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Which of the following actions should the nurse take?
Discard the tablet and obtain another dose of medication.
Use the tablet's packaging to pick it up from the counter.
Wash the tablet off with alcohol and place it in a clean medication cup.
Place the tablet directly into a medication cup.
The Correct Answer is A
A. Discarding the tablet and obtaining another dose is the safest option, as it ensures the medication's integrity and prevents any potential contamination.
B. Using the tablet's packaging to pick it up is not appropriate as it could introduce contaminants from the surface of the counter to the tablet.
C. Washing the tablet with alcohol is not advisable because it could alter the medication's properties or effectiveness.
D. Placing the tablet directly into a medication cup without addressing its contamination would also be inappropriate and could jeopardize client safety.
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Correct Answer is A
Explanation
A. A private, negative-pressure room is essential for clients suspected of having tuberculosis (TB) to prevent airborne transmission. This setup helps contain airborne pathogens and protects other clients and staff.
B. A private, positive-pressure room is inappropriate for this situation because it is designed for immunocompromised patients, not those with potential infectious diseases.
C. A semi-private, negative-pressure room would not provide adequate isolation for a client with suspected TB, increasing the risk of transmission to another patient.
D. A semi-private, positive-pressure room is also inappropriate, as it poses a risk of spreading infectious agents to others in the facility.
Correct Answer is D
Explanation
A. Applying the pulse oximeter to a finger may not be ideal due to edema, which can affect the accuracy of the reading.
B. Using a skin fold is not a typical location for pulse oximetry and may not provide accurate readings.
C. Applying the probe to a toe may be less effective if the toenails are thickened, potentially affecting blood flow to that area and the accuracy of the reading.
D. The earlobe is a suitable alternative for measuring oxygen saturation, particularly in cases where peripheral sites (like fingers or toes) are compromised.