HESI Case Study: HIV and TB - Questions & Answers The nurse admits Raymond to a private room at the end of the hall. According to hospital protocol, the
... [Show More] nurse puts 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 w/ him. How should the nurse respond? He may stay, but he needs to wear a mask Raymond's significant other, Brandon, arrives. Raymond wants to know why a mask is necessary for people entering his room. What teaching should the nurse implement? Explain that the TB organism is most often spread through the air The UAP asks why Raymond could not be in an empty semiprivate room closer to the nurse's station so the staff would not have to walk so far to provide care. What information should the nurse provide to the UAP on infection control practices? The implementation of airborne precautions for possible TB requires a private, negative pressure room assignment The nurse notices the UAP about to enter Raymond's room to deliver a meal tray w/out wearing any protective apparel. What info should the nurse provide to the UAP? A mask is required for HC workers entering the room of someone suspected of having active TB An acid-fast bacilli (AFB) stain is part of the initial prescriptions. Early morning sputum specimens will be collected for 3 consecutive days and sent to the lab. Which tasks may the nurse delegate to the UAP? - Have the UAP tell Raymond that the specimen must be collected in the early morning - Provide Raymond w/ 3 sterile specimen cups at his bedside - Document the time and date that each sputum specimen was collected Raymond is scheduled for several activities the following morning. Which activity should Raymond perform 1st upon awakening? Obtain the 1st of 3 sputum specimens for lab testing An LPN says to the nurse who is making assignments, "I do not want to be assigned to care for Raymond. I have never cared for a client w/ HIV and do not want to start now. I have a family at home that needs me". Which info should the nurse base a response about the LPN's right to refuse care for a client w/ HIV? The LPN may refuse to care for a client in circumstances in which risk to the nurse outweighs the nurse's responsibility to care for a client, or if the assignment conflicts w/ the nurse's ethical standards How should the nursing supervisor respond [Show Less]