A nurse is caring for a client who is suspected to have active laryngeal tuberculosis (TB). Which of the following actions should the nurse plan to take to safely care for this client?
Have staff and visitors wear gowns while in the client’s room.
Place the client in a private room with a special ventilation system.
Move the client to a semi-private room with a client who requires droplet precautions.
Remove personal protective equipment in the hallway outside of the client’s room.
The Correct Answer is B
Choice A reason: While gowns may be part of the precautions, they are not sufficient alone for preventing the spread of TB, which is transmitted via airborne particles.
Choice B reason: Placing the client in a private room with a special ventilation system is crucial for preventing the spread of TB. The special ventilation system, typically a negative pressure room, ensures that airborne particles do not escape into other areas, thereby protecting staff and other patients.
Choice C reason: A semi-private room with another patient requiring droplet precautions is inappropriate for a TB patient, as TB requires strict airborne precautions to prevent transmission.
Choice D reason: Removing personal protective equipment in the hallway increases the risk of contaminating the hallway and spreading TB. PPE should be removed inside the room or anteroom to contain potential contaminants.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Placing tissue soiled with respiratory secretions in a paper bag for later disposal is not an appropriate infection control measure. Used tissues should be disposed of immediately in a proper waste receptacle to prevent the spread of tuberculosis bacteria.
Choice B reason: Sputum cultures should be provided more frequently than every 6 weeks to monitor the effectiveness of the treatment and to confirm when the client is no longer infectious. Monthly cultures are typically recommended until the patient shows no signs of active infection.
Choice C reason: Consuming alcohol in moderation while taking antituberculosis medications is not advised. Alcohol can interfere with the effectiveness of the medications and may also exacerbate potential side effects, such as liver toxicity, especially with medications like isoniazid and rifampin.
Choice D reason: The correct answer is d because wearing a mask while out or around crowds of people helps prevent the spread of tuberculosis. TB is an airborne disease, and wearing a mask reduces the risk of transmitting the infection to others.
Correct Answer is A
Explanation
Choice A reason: The correct answer is a because auscultating the lung fields allows the nurse to determine the areas of congestion and plan the most effective positioning and techniques for chest percussion, vibration, and postural drainage.
Choice B reason: Providing mouth care is important for client comfort but is not the first step in preparing for chest physiotherapy.
Choice C reason: Cupping hands and tapping on the client’s chest repeatedly is part of the chest percussion technique but should be done after assessing the lung fields to target the appropriate areas.
Choice D reason: Positioning the client so that the lung area to be drained is above the trachea is part of postural drainage but should be planned based on the findings from auscultation.
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