Rn Concept-Based Assessment Level 2 Study Guide Rated A+

A nurse is admitting a client who has just been diagnosed with active tuberculosis and has experienced a 5.9 kg (13 lb) weight loss during the past 3 weeks. Which of the following actions should the nurse take first? a- Obtain a sputum sample for mycobacterial culture. b- Administer the first dose of antimycobacterial medications. c- Refer the client to a dietitian to plan a healthy diet. d- Initiate airborne precautions. {Ans: CORRECT: d- The greatest risk is that the client can transmit tuberculosis to other individuals; therefore, the first action the nurse should take is to initiate airborne precautions for this client. The nurse should place the client in a private rook with negative air pressure and at least six air exchanges per hour and use an N95 mask while caring for the client. INCORRECT: a- The nurse should obtain a sputum sample for mycobacterial culture to confirm the diagnosis; however, there is another action the nurse should take first. b- The nurse should administer the prescribed antimycobacterial medications after obtaining the sputum specimen; however, there is another action the nurse should take first. c- The nurse should refer the client to a dietitian to plan for a