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Chest X-ray can show infiltrates or cavities suggestive of TB but is not diagnostic since many lung diseases look similar.

Tuberculin test (Mantoux test/PPD) detects exposure to TB, not active disease. Cannot confirm TB because it may be positive with latent TB or BCG vaccination.

Urine culture is not useful for pulmonary TB diagnosis. It may detect TB in urinary tract TB, but not the standard test.

Chills can occur in acute infections but are not a hallmark of TB, which has a more insidious onset with low-grade fever and night sweats.

Hyperactivity is not associated with TB. Children with TB are more likely to have fatigue, lethargy, or irritability due to chronic illness.

TB often causes weight loss or failure to thrive, not weight gain, due to chronic infection and poor appetite.

Hyperactivity is not a known or common adverse effect of rifampin. Behavioral changes are unrelated to the drug.

Rifampin can actually cause hepatotoxicity and increase liver enzymes or bilirubin, not decrease them.

Rifampin is hepatotoxic and may cause elevated, not decreased, liver enzymes. This requires monitoring but is not the expected everyday effect like orange secretions.

Issuing a press release to the local news agency violates HIPAA confidentiality and patient privacy. Public health notifications must go through official reporting systems, not the media.

Eliminating health-care workers who have negative tuberculin skin tests from caring for this client is incorrect. All healthcare workers, regardless of TB test status, must use airborne precautions such as N95 respirator or negative pressure room. Having a negative test does not disqualify a worker from providing care.

Notifying the nearest infectious disease facility and prepare to transfer the client so treatment can be initiated is appropriate. TB is treated in general hospitals and outpatient settings. Transfer is not required unless specialized care is needed. Treatment should begin at the current facility.

Monitor for signs of bleeding is not directly associated with TB or AIDS unless the client is on anticoagulants or has another comorbidity. Not the immediate priority.

Teach strategies for skin care is important for some AIDS-related conditions (Kaposi sarcoma, fungal infections), but not the priority in a new active TB admission.

Assessing CD4 and T-lymphocyte counts is essential for managing HIV/AIDS, but not the immediate nursing priority compared to airborne precautions for TB infection control.