A nurse is admitting a client with suspected active pulmonary tuberculosis. Which infection control measures should the nurse implement? For each group, select all responses that apply.
Multiple Response Grouping
Choose your responses, then check the answer.
Explanation
Active pulmonary tuberculosis requires airborne precautions. The client must be in a negative-pressure room to prevent air from escaping to other areas. Healthcare workers must wear N95 respirators, not surgical masks, because N95 filters small airborne particles. During transport, the client should wear a surgical mask to contain respiratory secretions. Client education on cough etiquette is essential. Visitors should also wear N95 respirators. The door must remain closed at all times to maintain negative pressure.
Active pulmonary tuberculosis requires airborne precautions. The client must be in a negative-pressure room to prevent air from escaping to other areas. Healthcare workers must wear N95 respirators, not surgical masks, because N95 filters small airborne particles. During transport, the client should wear a surgical mask to contain respiratory secretions. Client education on cough etiquette is essential. Visitors should also wear N95 respirators. The door must remain closed at all times to maintain negative pressure.
Key cues
Use the client-specific assessment findings and timing in the scenario rather than a memorized diagnosis label.
Clinical reasoning
Connect the relevant cues to the safest nursing interpretation and action for this exact care setting.
Why the alternatives do not fit
The distractors are plausible in another context but are unsupported, mistimed, lower priority, or incomplete for the findings presented.
Priority and safety
Address immediate threats first, stay within nursing scope, and reassess the client after the selected intervention.
Takeaway
For pulmonary tuberculosis precautions, select responses that are both clinically supported and appropriate at this point in care.
Sources
CDC Standard Precautions
A nurse is admitting a client with suspected active pulmonary tuberculosis. Which infection control measures should the nurse implement? For each group, select all responses that apply.
airborne precautions — Infection control measures for pathogens transmitted by small droplet nuclei that remain infectious over long distances, including negative-pressure room and N95 respirator.
N95 respirator — A tight-fitting mask that filters at least 95% of airborne particles, required for airborne precautions.
negative-pressure room — A room with ventilation that maintains lower air pressure than surrounding areas, preventing airborne pathogens from escaping.