A nurse is developing a plan of care for a client admitted with a persistent cough, night sweats, hemoptysis, and a positive acid-fast bacilli (AFB) sputum smear. Which of the following interventions should the nurse include in the client's care plan? Select all that apply.
- Place the client in a negative-pressure airborne infection isolation room (AIIR).Answer
- Ensure all healthcare personnel don a fit-tested N95 respirator or powered air-purifying respirator (PAPR) before entering the room.Answer
- Apply a standard medical mask to the client if transport outside of the isolation room is required.Answer
- DDelegate the initial teaching regarding respiratory hygiene and cough etiquette to the unlicensed assistive personnel (UAP).
- EMaintain the door to the client's isolation room slightly open to promote air circulation.
- FDon a clean gown and clean gloves prior to entering the room for routine physical assessments.
Answer
The correct interventions are placing the client in a negative-pressure room, ensuring staff wear N95 respirators or PAPRs, and applying a standard medical mask to the client during transport.
Active pulmonary tuberculosis is transmitted via airborne droplet nuclei. Proper management requires placing the client in a negative-pressure airborne infection isolation room (AIIR) to safely exhaust contaminated air. Healthcare personnel must wear an N95 respirator or PAPR to filter out the bacteria before inhalation. If the client must leave the room, they must wear a standard medical mask to trap droplets at the source.
Step-by-Step Solution
Key Concept
Airborne Precautions for Pulmonary Tuberculosis