©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
HESI RN Case Study: HIV/TB Exam
Questions and Answers 100% Solved
Raymond Malone, age 45 years admitted from his healthcare provider's
office (HCP) to the acute care facility. Jeff was diagnosed HIV positive 2
years ago. His history includes fatigue, a productive cough, and weight
loss. A tuberculosis(TB) test was administered in the healthcare provider's
office. Admission prescriptions include "isolation precautions for suspected
pulmonary tuberculosis." See following questions... - ✔✔
The nurse admits Raymond to a private room at the end of the hall.
According to hospital protocol, the nurse put on a mask before starting the
admission process. Raymond tells the nurse that his significant other is
downstairs and that he would like for him to stay in the room with him.
1. How should the nurse respond? - ✔✔"He may stay but only if he wears a
mask"
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Raymond's significant other may stay in the room, but he should wear a
mask to help decrease the possibility of contracting the TB organism.
Raymond's significant other,Brandon, arrives. Raymond wants to know why
a mask is necessary for people entering his room.
2.What teaching should the nurse implement? - ✔✔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
Raymond with the scientific rationale for wearing a mask.
Safety and Infection Control
The unlicensed assistive personnel (UAP) asks why Raymond could not be
in an empty semiprivate room closer to the nurses station so that the staff
would not have to walk so far to provide care.
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
3. What information should the nurse provide to the UAP on infection
control services? - ✔✔The implementation of airborne precautions for
possible TB requires a private, negative pressure room assignment.
According to the Centers for Disease Control (CDC), in addition to isolating
Raymond by using a private room, engineering controls can help to prevent
the spread of TB. Controlling the direction of the airflow can prevent
contamination of air in adjacent areas.
The nurse notices the UAP about to enter Raymond's room to deliver a
meal tray without wearing any protective apparel.
4. What information should the nurse provide the UAP - ✔✔A mask is
required for healthcare workers entering the room of someone suspected of
having active TB.
TB is spread by airborne transmission of droplet nuclei. A specific fit tested,
high-efficiency particulate air (HEPA) mask is necessary to filter the
mycobacterium tuberculosis bacillus.
Nursing Process: Intervention
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
An acid-fast-bacilli (AFB) stain is part of the initial admission prescriptions.
Early morning sputum specimens will be collected for three consecutive
days and sent onto the lab.
5. Which tasks may the nurse delegate to the UAP? (SATA) - ✔✔Have the
UAP tell Raymond that the specimen must be collected in the early
morning.
This task may be delegated.
Provide Raymond with three sterile specimen cups at his bedside.
This task may be delegated.
Document the time and date that each sputum specimen was collected.
This task may be safely delegated. However, it is the nurse's responsibility
to ensure that the documentation is completed and sent with the specimen
to the lab.
Raymond is scheduled for several activities the following morning.
HESI RN Case Study: HIV/TB Exam
Questions and Answers 100% Solved
Raymond Malone, age 45 years admitted from his healthcare provider's
office (HCP) to the acute care facility. Jeff was diagnosed HIV positive 2
years ago. His history includes fatigue, a productive cough, and weight
loss. A tuberculosis(TB) test was administered in the healthcare provider's
office. Admission prescriptions include "isolation precautions for suspected
pulmonary tuberculosis." See following questions... - ✔✔
The nurse admits Raymond to a private room at the end of the hall.
According to hospital protocol, the nurse put on a mask before starting the
admission process. Raymond tells the nurse that his significant other is
downstairs and that he would like for him to stay in the room with him.
1. How should the nurse respond? - ✔✔"He may stay but only if he wears a
mask"
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Raymond's significant other may stay in the room, but he should wear a
mask to help decrease the possibility of contracting the TB organism.
Raymond's significant other,Brandon, arrives. Raymond wants to know why
a mask is necessary for people entering his room.
2.What teaching should the nurse implement? - ✔✔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
Raymond with the scientific rationale for wearing a mask.
Safety and Infection Control
The unlicensed assistive personnel (UAP) asks why Raymond could not be
in an empty semiprivate room closer to the nurses station so that the staff
would not have to walk so far to provide care.
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
3. What information should the nurse provide to the UAP on infection
control services? - ✔✔The implementation of airborne precautions for
possible TB requires a private, negative pressure room assignment.
According to the Centers for Disease Control (CDC), in addition to isolating
Raymond by using a private room, engineering controls can help to prevent
the spread of TB. Controlling the direction of the airflow can prevent
contamination of air in adjacent areas.
The nurse notices the UAP about to enter Raymond's room to deliver a
meal tray without wearing any protective apparel.
4. What information should the nurse provide the UAP - ✔✔A mask is
required for healthcare workers entering the room of someone suspected of
having active TB.
TB is spread by airborne transmission of droplet nuclei. A specific fit tested,
high-efficiency particulate air (HEPA) mask is necessary to filter the
mycobacterium tuberculosis bacillus.
Nursing Process: Intervention
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
An acid-fast-bacilli (AFB) stain is part of the initial admission prescriptions.
Early morning sputum specimens will be collected for three consecutive
days and sent onto the lab.
5. Which tasks may the nurse delegate to the UAP? (SATA) - ✔✔Have the
UAP tell Raymond that the specimen must be collected in the early
morning.
This task may be delegated.
Provide Raymond with three sterile specimen cups at his bedside.
This task may be delegated.
Document the time and date that each sputum specimen was collected.
This task may be safely delegated. However, it is the nurse's responsibility
to ensure that the documentation is completed and sent with the specimen
to the lab.
Raymond is scheduled for several activities the following morning.
