The charge nurse for a medical-surgical unit is notified that a ...

[809779]

The charge nurse for a medical-surgical unit is notified that a client with tuberculosis (TB) is being transported to the unit. Which actions for infection prevention are the most appropriate in this circumstance?
 
  Select all that apply.
  A) Stock the client's supply cart at the beginning of each shift.
  B) Wear a mask and gown when caring for the client.
  C) Have the client wear a mask when coming from admissions.
  D) Perform hand hygiene only after leaving the room.
  E) Test all staff members for TB immediately

Question 2

The nurse caring for a homeless client at risk for tuberculosis (TB) will include which symptoms of the disease when educating the client?
 
  Select all that apply.
  A) Fatigue
  B) Low-grade morning fever
  C) Productive cough that later turns to a dry, hacking cough
  D) Weight loss
  E) Night sweats

[Silverbeard98]

Answer to Question 1

Answer: B, C

Masks and gowns should be worn when caring for clients who do not reliably cover their mouths when coughing. When a client has an airborne disease and must go elsewhere in the hospital, the client must wear a mask. Supplies to prevent transmission of disease should be stocked at the end of the shift so that adequate supplies will be available for the next healthcare provider. Hand hygiene should be performed before and after client care. Clinical staff receive TB testing annually. There is no reason to test all staff members at this time.

Answer to Question 2

Answer: A, D, E

Manifestations of tuberculosis often develop insidiously and are initially nonspecific. Fatigue, weight loss, diminished appetite, low-grade afternoon fever, and night sweats are common. A dry cough develops, which later becomes productive of purulent and/or blood-tinged sputum. It is often at this stage that the client first seeks medical attention.