The nurse is caring for a client with latent TB. Which ...

[newyorker26]

The nurse is caring for a client with latent TB. Which circumstances would place this nurse in the high-risk category for the transmission of TB?
 
  Standard Text: Select all that apply.
  1. Caring for a client in a pediatric clinic
  2. Caring for a client who is HIV-positive
  3. Caring for a client who is currently serving a prison sentence
  4. Caring for a pregnant client
  5. Caring for a client who is living with someone with active TB

Question 2

The nurse is caring for a pregnant client who is taking isoniazid for the treatment of tuberculosis. The nurse knows that pregnant clients taking isoniazid therapy should also receive:
 
  1. ethambutol (Myambutol).
  2. pyrazinamide (PZA).
  3. pyridoxine.
  4. rifampin (Rifadin, Rimactane).

[ngr69]

Answer to Question 1

Correct Answer: 2,3,5
Rationale 1: Working in a pediatric clinic would not put the nurse in the high-risk category.
Rationale 2: Caring for a client who is HIV positive would put the nurse in the high-risk category.
Rationale 3: Caring for a client who is in prison would put the nurse in the high-risk category.
Rationale 4: Caring for a pregnant client would not put the nurse in the high-risk category.
Rationale 5: Caring for a client who is in close contact with someone with active TB would put the nurse in the high-risk category.
Global Rationale: High-risk categories include patients who are HIV positive, those receiving immunosuppressive drugs, employees and residents of nursing homes, those living in residential facilities for AIDS patients, those living in prisons, people born in countries where TB is endemic, and those who have been in close contact with patients with active TB. Pediatrics and obstetrics are not high risk areas.

Answer to Question 2

Correct Answer: 3
Rationale 1: Ethambutol is not indicated for the pregnant client.
Rationale 2: Pyrazinamide is not indicated for the pregnant client.
Rationale 3: Pregnant clients should also receive pyridoxine.
Rationale 4: Rifampin is not indicated for the pregnant client.
Global Rationale: Pregnant patients should receive isoniazid therapy supplemented with pyridoxine (vitamin B6), which has been shown to prevent peripheral neuropathy. The other drugs are not indicated.

[newyorker26]

Thank you!

[ngr69]

Always glad to help...