Case study PN Human
Immunodeficiency Virus (HIV) and
Tuberculosis (TB)
Before entering the client's room, the practical nurse (PN) dons a special fit, approved mask, N
95 respirator, eye protection, gown, and gloves from an isolation cart outside the room. The PN
then welcomes the client and orients the client to his private isolation room at the end of the hall
and closes the door. The PN asks Mr. Taylor how he would like to be addressed while he is in
the hospital. The client says, "Please call me Matthew." He then tells the PN that his partner,
Bailey, is downstairs and that he would like Bailey to stay in the room with him.
How should the PN respond to Matthew's request? - ANSAdvise the client that his partner may
visit but will need to follow the hospital's required airborne isolation precautions.
Matthew calls Bailey on his cell phone and tells him what the PN said. After hanging up the
phone, Matthew responds to the PN with anger, stating, "HIV is a terrible curse. Now Bailey and
I may both end up with tuberculosis." Matthew and the PN discuss his medical history and
Matthew says, "I understand that my helper T cells are diminished from HIV and those are the
cells needed to fight TB."
Which statement made by the client indicates the need for further teaching? - ANS"The
medications for TB will help to eradicate the HIV virus from my blood."
The unlicensed assistive personnel (UAP) tells the PN that there is an empty semiprivate room
closer to the nurse's station. The UAP asks if Matthew can be moved to that room so the staff
do not have to walk so far to provide care.
What explanation should the PN provide to the UAP regarding the room selected for the client?
- ANSMovement of the airflow can be controlled in a private room.
Shortly after the client is admitted, the PN notices the UAP about to enter Matthew's room to
deliver a meal tray. The UAP is not wearing any protective apparel.
What action should the PN take? - ANSAdvise the UAP that a fitted face mask is required to
enter the room.
An acid-fast bacilli (AFB) stain is included in the initial prescriptions for Mathew from the HCP.
Early morning sputum specimens will be collected for 3 consecutive days and sent to the lab.
Matthew is also scheduled for a chest x-ray in the morning.
Immunodeficiency Virus (HIV) and
Tuberculosis (TB)
Before entering the client's room, the practical nurse (PN) dons a special fit, approved mask, N
95 respirator, eye protection, gown, and gloves from an isolation cart outside the room. The PN
then welcomes the client and orients the client to his private isolation room at the end of the hall
and closes the door. The PN asks Mr. Taylor how he would like to be addressed while he is in
the hospital. The client says, "Please call me Matthew." He then tells the PN that his partner,
Bailey, is downstairs and that he would like Bailey to stay in the room with him.
How should the PN respond to Matthew's request? - ANSAdvise the client that his partner may
visit but will need to follow the hospital's required airborne isolation precautions.
Matthew calls Bailey on his cell phone and tells him what the PN said. After hanging up the
phone, Matthew responds to the PN with anger, stating, "HIV is a terrible curse. Now Bailey and
I may both end up with tuberculosis." Matthew and the PN discuss his medical history and
Matthew says, "I understand that my helper T cells are diminished from HIV and those are the
cells needed to fight TB."
Which statement made by the client indicates the need for further teaching? - ANS"The
medications for TB will help to eradicate the HIV virus from my blood."
The unlicensed assistive personnel (UAP) tells the PN that there is an empty semiprivate room
closer to the nurse's station. The UAP asks if Matthew can be moved to that room so the staff
do not have to walk so far to provide care.
What explanation should the PN provide to the UAP regarding the room selected for the client?
- ANSMovement of the airflow can be controlled in a private room.
Shortly after the client is admitted, the PN notices the UAP about to enter Matthew's room to
deliver a meal tray. The UAP is not wearing any protective apparel.
What action should the PN take? - ANSAdvise the UAP that a fitted face mask is required to
enter the room.
An acid-fast bacilli (AFB) stain is included in the initial prescriptions for Mathew from the HCP.
Early morning sputum specimens will be collected for 3 consecutive days and sent to the lab.
Matthew is also scheduled for a chest x-ray in the morning.
