Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Places a surgical mask on the patient to transport to radiology.

Places the patient on droplet precautions.

Wears a surgical mask when providing patient care.

Places the patient in a private, negative airflow room.

Wears eye protection when collecting sputum samples.

Answer and Explanation

Correct Answer : A,D,E

A.   It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B.   TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C.   While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D.   Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E.   Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

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Correct Answer is ["21"]

Explanation

Convert infusion time to minutes:

2 hours * 60 minutes/hour = 120 minutes

Calculate the total number of drops:

250 mL * 10 gtt/mL = 2500 gtt

Calculate the flow rate:

Flow rate = Total number of drops / Infusion time Flow rate = 2500 gtt / 120 minutes

Flow rate ≈ 20.83 gtt/min

Rounding to the nearest drop, the flow rate for the infusion of packed red blood cells is 21 gtt/min.

A. The client's family will also need to take medications to prevent infection. B. A typical course of treatment involves 6 to 9 months of consistent medication use. C. Medications will need to be taken until the Mantoux test is negative., D. Medications will need to be taken for the rest of the client's life, even if the client feels better.

Correct Answer is B

Explanation

A. This statement is not necessarily true for every situation. While close contacts of a person with active TB may need to be tested and could receive preventive treatment (especially if they are at high risk), not all family members will automatically need to take medications.
B. A standard treatment regimen for active pulmonary TB typically lasts at least 6 months, and sometimes longer, depending on the specific circumstances (e.g., drug resistance, extent of disease). Consistent adherence to the medication regimen is crucial to ensure effective treatment and prevent the development of drug-resistant TB.
C. The Mantoux test (or tuberculin skin test) may remain positive even after successful treatment for TB, as it indicates past exposure rather than active disease. The decision to discontinue medications is based on clinical and microbiological evaluations, not solely on the Mantoux test result.
D. While it is crucial for the client to complete the full course of prescribed medications, they do not need to take them for life. Treatment typically lasts for 6 to 9 months, and clients should not continue medication indefinitely. It is essential to emphasize adherence to the treatment regimen but also to note that it is finite.

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Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders a unit of packed red blood cells (PRBC) to infuse in 2 hours. The unit contains 250 mL. The blood tubing administration set has a drop factor of 10 gtt/mL. The flow rate for the infusion of packed red blood cell is gtt/min. (Round to the nearest drop)

Correct Answer is ["21"]

Explanation

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of th following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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