NCLEX-RN

Category - Safety

A client with severe cough, fever, and night sweats arrives at the emergency department. The initial action of the emergency department nurse is to:
  1. Transfer the client to a secluded area
  2. Notify the physician
  3. Conduct a complete head-to-toe assessment
  4. Don gloves, gown, and mask during assessment
Explanation
Answer: A - The signs and symptoms demonstrated by the client indicate tuberculosis. Because tuberculosis is a highly contagious disease, the nurse must initially move the client to another secluded area.
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