| 1. Have the client cough into a tissue and dispose in a separate bag 2. Instruct the client to cover the mouth with a tissue when coughing 3. Reinforce for all to wash their hands before and after entering the room 4. Place client in a negative pressure private room and have all who enter the room use masks with shields | |
Friday, April 08, 2005
A question of the week
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these protocols would be a priority for the nurse to implement?
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The correct answer is number: 4
A client with active tuberculosis should be hospitalized in a negative pressure room to prevent respiratory droplets from leaving the room when the door is opened. Tuberculosis (TB) is caused by spore-forming mycobacteria, more often Mycobacterium tuberculosis. In developed countries the infection is airborne and is spread by inhalation of infected droplets. In underdeveloped countries (Africa, Asia, South America), transmission also occurs by ingestion or by skin invasion, particularly when bovine TB is poorly controlled.
Phipps, W., Monahan, F., Sands, J., Marke, J., Neighbors, N. (2003) Medical-Surgical Nursing: Health and Illness Perspectives. (7th Edition). Mosby: St. Louis, Missouri.
Black, J, Hawk, J, Keene, A. (2001). Medical-Surgical Nursing ( 6th ed). Philadelphia: Saunders.
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