A nurse is reinforcing discharge teaching with a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
"My family will need to wear a mask when around me at home."
"I will need to take medication for this condition for the rest of my life."
"I should throw away my used tissues in a closed plastic bag."
"I will no longer be infectious after 30 days of treatment."
The Correct Answer is C
A. Wearing a mask by family members is not typically necessary at home once the client is on effective treatment for tuberculosis and the infectious period has passed. The client should avoid public places and limit contact with vulnerable individuals, but family members do not need to wear masks at home after the initial treatment phase.
B. Long-term medication is required for tuberculosis, but not for the rest of the client’s life. Treatment usually lasts for 6-9 months, not a lifetime. Adherence to the medication regimen is crucial to prevent relapse or resistance.
C. Throwing away used tissues in a closed plastic bag is correct. This is a key infection control measure to prevent the spread of tuberculosis through respiratory droplets. Used tissues should be discarded in a closed, lined container, and the client should practice good hygiene.
D. No longer infectious after 30 days of treatment is incorrect. A client with tuberculosis may remain infectious until they have completed several weeks of treatment and show improvement. Typically, a negative sputum culture is used to confirm the client is no longer infectious.
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Related Questions
Correct Answer is C
Explanation
A. Assign clients to the remaining staff is not the first action. The nurse should address the suspected impairment of the staff member before assigning clients to others.
B. Call the supervisor to ask for another nurse is not the first action. While notifying the supervisor is important, the nurse should first ensure that the impaired nurse is removed from direct client care to prevent any potential harm to clients.
C. Remove the nurse from the client care area is correct. The first priority is to ensure that the nurse who may be impaired is not caring for clients to ensure client safety.
D. Document objective findings about the situation is important but not the first step. The immediate priority is ensuring the safety of clients by removing the nurse from the care area. Documentation can follow after ensuring client safety.
Correct Answer is C
Explanation
A. Documenting in the nursing care plan is incorrect. The nursing care plan outlines interventions and client needs, but it is not used for documenting medication errors.
B. Recording in the controlled substance inventory record is incorrect. While the administration of a controlled substance must be recorded, the inventory record tracks medication usage and does not serve as documentation for errors.
C. Completing an incident report is correct. An incident report is used to document medication errors, allowing for review and quality improvement measures to prevent future occurrences.
D. Writing in the provider's progress notes is incorrect. The provider's progress notes focus on client status and treatment plans, not internal error reporting. However, the nurse should notify the provider about the error.
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