TB set
what is the treatment for TB (active)
- 6 months (infectious X 2-3 weeks)
The nurse observes the nursing care partner (NCP) entering an airborne isolation room and leaving the door open. Which action is the nurse's best response? Close the door and discuss the actions with the NCP. Make the NCP come back outside the room and close the door. Say nothing and report it to the supervisor. Go about your day. Everyone makes mistakes.
1
three goals in TB treatment
1. airway clear 2. treatment adherence 3. promote activity and adequate hydration
what are the 5 airborne precautions
1. mask symptomatic pt 2. single room and BR with neg airflow 3. keep door closed 4. HCW w ear N95 respirators 5. visitors wear a mask
what is the frequency for sputum cultures for pt suspected to have TB
1. three negative smears 2. at least 8 hr apart 3. at least one collected during early morning 4. in most cases, pt w negative sputum smear results may be released from all in 2 days
A nurse is caring for a patient with suspected tuberculosis. What test does the nurse know provides confirmation that the patient has tuberculosis? TB skin test Sputum Culture Chest X-ray Blood Cultures
2
A patient recently diagnosed with tuberculosis is being discharged. Which statement by the patient indicates an understanding of the discharge instructions? "I will take my medication for the full three weeks as prescribed." "I must stay on my medication for months if I am to get well." "I can not be around my friends for three months." "I should get a TB skin test every three months."
2
The nurse is educating the patient who will be started on an anti-tuberculosis medication regimen. The patient asks the nurse, "How long will I have to be on these medications?" What should the nurse tell the patient? 3 weeks 3 months 6-12 months 13-18 months
3
A patient is admitted with a diagnosis of rule-out tuberculosis. Which type of isolation procedures should be implemented? Standard Precautions Contact Precautions Droplet Precautions Airborne Precautions
4
what is the treatment for TB infection latent
6-9 months initial treatment phase
Latent and active are treated with:
INH, rifampin, pyrazinamide, ethambutol
how long does a cough last with tb
at least three weeks or greater
S/S of TB
bad cough for 3 weels or longer chest pain coughing up blood or sputum weak weight loss no appetite chills fever sweat at night
what does active TB look like
compromised immune system response, granuloma ulcerates, cheesey material in bronchi, bacilli airborne, inflam response, bronchopneumonia
T or F: latent tb can spread to others
false
what does latent TB look like
granuloma intact, bacteria dormant, no further progression
does latent or active TB have a normal CXR and negative sputum
latent- active tb is positive
assessment and dx tools for tb include
positive skin test (mantoux method or quanti-feron tb) CXR sputum culture history and physical
prevention and infection control includes
prompt detection, airborne precautions and treatment of people with suspected or confirmed disease
