A nurse in an outpatient clinic is teaching a client about the ...

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A nurse in an outpatient clinic is teaching a client about the criteria for being considered noninfectious. The nurse knows the client has understood the teaching when the client states:
 
  1. I am considered noninfectious when my white blood cell count is normal.
  2. I am considered noninfectious when my sputum culture and smear are negative.
  3. I am considered noninfectious when my PPD is negative.
  4. I am considered noninfectious when my chest x-ray is clear.

Question 2

The nurse is caring for a male client who has been diagnosed with tuberculosis. The client asks when he will be considered noninfectious. The nurse knows that a client will be considered noninfectious when the:
 
  1. PPD is negative.
  2. white blood cell count is normal.
  3. sputum culture and smear are negative.
  4. chest x-ray is clear.

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Answer to Question 1

Correct Answer: 2
Rationale 1: A normal WBC is not a measure of being noninfectious.
Rationale 2: Negative sputum culture and smear are the best indictors of a noninfectious state.
Rationale 3: The PPD is not a measure of being noninfectious.
Rationale 4: The chest x-ray is not the primary indicator of absence of tuberculosis.
Global Rationale: Negative sputum culture and smear are the best indictors of a noninfectious state. The remaining outcomes are not considered.

Answer to Question 2

Correct Answer: 3
Rationale 1: The PPD is not a measure of being noninfectious.
Rationale 2: A normal WBC is not a measure of being noninfectious.
Rationale 3: Negative sputum culture and smear are the best indictors of the noninfectious state.
Rationale 4: The chest x-ray is not the primary indicator of the noninfectious state.
Global Rationale: Noninfectious state is determined by negative sputum cultures. No other measure is used.