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TB, Pneumonia, Asthma, COPD NCLEX Practice questions fully solved & updated 2025
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TB, Pneumonia, Asthma, COPD NCLEX Practice questions fully solved & updated 2025
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NU372 Week 2 HESI CaseStudy: Human
Immunodeficiency Virus
(HIV) and Tuberculosis (TB)
Client is admitted from his healthcare provider's office (HCP) to the acute
care facility. He was diagnosed HIV positive 2 years ago. His history
includes fatigue, a productive cough, and weight loss. A tuberculosis (TB)
skin test was administered in the HCP's office. Admission orders include
"isolation precautions for suspected pulmonary tuberculosis."
The nurse admits client to a private room at the end of the hall. According
to hospital protocol, the nurse puts on a mask before starting the
admission process. Client tells the nurse that their significant other is
downstairs and that they would like for them to stay in the room with
them.
How should the nurse respond?
o "Your healthcare provider (HCP) wants you to get some rest."
o "Your significant other may stay, but only after we have the results of
their tuberculin skin test."
o "They may stay, but they need to wear a mask."
o "You don't want to risk infecting your significant other with TB, do you?"
o "They may stay, but they need to wear a mask."
· Client's significant other may stay in the room, but they should wear a
mask to help decrease the possibility of contracting the TB organism.
Client's significant other arrives. Client wants to know why a mask is
necessary for people entering their room.
What teaching should the nurse implement?
o Explain the use of a private room and mobile high-efficiency particle
filters placed in the room.
o Explain that the tuberculosis (TB) organism is most often spread through
the air.
, o Tell client that tuberculosis (TB) will not be spread to others, and
everything will be okay if the mask is worn.
o Tell client that masks are required for those persons who do not agree to
be vaccinated with BCG vaccine.
o Explain that the tuberculosis (TB) organism is most often spread through
the air.
· When an infected person coughs or sneezes, they produce infectious
droplets that can be breathed in by another person. This answer provides
client with the scientific rationale for wearing a mask.
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The unlicensed assistive personnel (UAP) asks why client could not be in
an empty semi-private room closer to the nurse's station so the staff
would not have to walk so far to provide care.
What information should the nurse provide to the UAP on infection control
practices?
o The client needs to be at the end of the hall because he requires privacy.
o The implementation of airborne precautions for possible TB requires a
private, negative pressure room assignment.
o A private room is required to implement contact precautions for possible
TB.
o The client needs to be at the end of the hall for confidentiality.
o The implementation of airborne precautions for possible TB requires a
private, negative pressure room assignment.
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