A client arrives at the urgent care clinic reporting a three-week history of a persistent cough, night sweats, and blood-tinged sputum. The triage nurse strongly suspects active pulmonary tuberculosis. Which initial safety measure must the nurse implement?
- Escort the client to an airborne infection isolation room and apply a fit-tested N95 respirator.Cevap
- BPlace the client in a standard private room and initiate droplet precautions.
- CPrioritize obtaining a sputum culture before moving the client from the main waiting area.
- DInstruct the unlicensed assistive personnel (UAP) to auscultate the client's lung sounds.
Cevap
The nurse must immediately escort the client to an airborne infection isolation room and apply a fit-tested N95 respirator.
The correct answer directly addresses the highest priority in this scenario: containing a highly contagious airborne pathogen. By immediately placing the client in a specialized isolation room and using the correct personal protective equipment (N95 respirator), the nurse prevents accidental exposure to other vulnerable clients and staff in the clinic environment.
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Anahtar Kavram
Airborne Precautions and Infection Control Priorities