The nurse is providing care to William Parish, who presents in the emergency department
with symptoms indicative of tuberculosis (TB). Which action should the nurse take when
triaging William upon his arrival to the emergency department?
Ask William to wear a gown while in the waiting area.
Ask William to wear gloves until transferred to a room.
Ask William to place a face mask over his mouth and nose.
Ask William to use hand sanitizer after using the restroom. -
Answer✓✓
Ask William to place a face mask over his mouth and nose.
Rationale: Any client who presents with symptoms that are indicative of TB should be asked
to wear a face mask until he or she is transferred to a room. TB is highly contagious and
transferred via droplets in the air; therefore, placing a face mask on the client decreases the
risk of transmission to others prior to placing the client in an appropriate room for airborne
precautions.
Quiz____?
Which type of room should the William be placed in when transferred from the waiting
room to an ED room?
A client room with negative airflow capability.
A multiple client room with curtains for privacy.
A client room with contact precaution capability.
A semi-private room with another client with respiratory symptoms. -
Answer✓✓
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, A client room with negative airflow capability.
Rationale: A client who presents with symptoms of TB should be placed in a client room
with negative airflow capability as soon as possible. In this type of room, air circulates into
the contaminated area of the client's room from surrounding areas. A multiple client room
is not appropriate as the client with TB is contagious. The client suspected of having TB
should never be placed in a room with other clients. All client rooms include contact
precautions.
Quiz____?
Which type of precautions should be used when providing care for William? Select all that
apply.
Standard precautions
Contact precautions
Droplet precautions
Airborne precautions
Reverse isolation precautions -
Answer✓✓
Standard precautions
Airborne precautions
Rationale: A client suspected of having TB will require standard precautions in addition to
airborne precautions, a type of isolation precaution. Airborne precautions require
placement in an airborne infection isolation room (AIIR) and the use of an N-95 mask.
Quiz____?
Which personal protective equipment (PPE) should the nurse don prior to entering the
room to assist William after he has vomited? Select all that apply.
Surgical mask
N95 respirator
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