HIV TB Essay - 5081 Words

Human Immunodeficiency Virus (HIV) and Tuberculosis (TB) Instructions Meet the Client: Jeff Smith Thirty-two-year-old Jeff Smith is admitted from his healthcare providers office to the acute care facility. Jeff was diagnosed HIV positive 2 years ago. His history includes fatigue, a productive cough, and weight loss. A tuberculosis (TB) skin test was administered in the healthcare providers office. Admission prescriptions include isolation precautions for possible tuberculosis. Admission Procedure The nurse welcomes Jeff to a private room at the end of the hall. According to hospital protocol, the nurse puts on a mask before starting the admission process. Jeff tells the nurse that his partner is downstairs and that he would like his†¦show more content†¦A) A mask is required for healthcare workers entering the room of someone suspected of having active TB. CORRECT TB is spread by airborne transmission of droplet nuclei. A well fitting, high-efficiency particulate air (HEPA) mask is necessary to filter the mycobacterium tuberculosis bacillus. B) Wearing a mask, gown, and gloves is required for healthcare workers entering Jeff’s room for any reason. INCORRECT The only protective apparel required when entering the room is a HEPA mask. C) The UAP will only be in the room for a brief moment to deliver the tray, so no intervention is needed by the nurse. INCORRECT Since TB is spread by airborne transmission of droplet nuclei, a HEPA mask is necessary for the UAP to wear. The nurse needs to inform the UAP of this and ensure that appropriate PPE is worn in Jeff’s room. D) Non-sterile gloves are necessary to deliver the meal and prevent the spread of TB. INCORRECT Gloves do not prevent the transmission of an airborne organism. Specimen Collection An acid-fast bacilli (AFB) stain is part of the initial admission prescriptions. 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