HIV & TB HESI CASE STUDY
The nurse admits Raymond to a private room at the end of the hall. According to hospital protocol, the nurse puts on a mask
... [Show More] 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? - answers--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? - answers--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? - answers--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? - answers--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? - answers--- 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? - answers--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? - answers--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 to the staff LPN who does not want to care for Raymond? - answers--"I understand you want to protect your children. Please tell me your concerns regarding caring for a client w/ HIV"
The nurse creates a POC for Raymond. The nsg dx of Knowledge Deficit is used to describe what is needed during client education sessions w/ Raymond. Which stmts by Raymond indicates that he understands why he is at risk for TB? - answers--- "I realize my helper T cells are diminished from HIV. Those are the cells needed to fight TB"
- "I guess living in that homeless shelter increased my chances of getting TB" [Show Less]