# A client arrives with a 3-week cough, night sweats, weight loss, and an upper-lobe cavitary lesion. Complete the priority infection-control response. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=395636&lang=en > language: en > subject: Standard/Transmission-Based Precautions/Surgical Asepsis > category: SIPC ## Question A client arrives with a 3-week cough, night sweats, weight loss, and an upper-lobe cavitary lesion. Complete the priority infection-control response. The nurse should initiate ::선택::contact precautions in a positive-pressure roomdroplet precautions in a semiprivate roomairborne precautions in an airborne-infection isolation roomstandard precautions only until culture confirmation, enter while wearing ::선택::a fit-tested N95 or higher-level respiratora standard surgical mask without fit testingsterile gloves without respiratory protectiona face shield as the sole respiratory barrier, and ::선택::delay isolation until three cultures are positiveencourage unrestricted hallway ambulationuse a respirator on the client instead of source controllimit transport and place a surgical mask on the client when transport is necessary. ## Explanation Suspected infectious pulmonary tuberculosis requires immediate airborne precautions in an AIIR. Staff enter wearing a fit-tested N95 or higher-level respirator. Limit transport; when transport is necessary, place a surgical mask on the client and coordinate testing and infection-control notification. ## In-depth explanation Quick answer Place the client in an airborne-infection isolation room, use a fit-tested N95 or higher-level respirator for staff, and mask the client with a surgical mask when transport is necessary. Why this is correct A prolonged cough, constitutional symptoms, and an upper-lobe cavity are concerning for infectious pulmonary tuberculosis. Precautions begin when disease is suspected, not only after laboratory confirmation. Easy analogy or mental picture Control the air at both ends: contain the client's respiratory particles and protect staff who enter the room. Memory hook Suspected TB: AIIR, respirator, and patient mask for transport. NCLEX decision rule Use airborne precautions and an AIIR for suspected infectious pulmonary TB. Respirator use must be part of a respiratory-protection program with fit testing. Limit movement and perform aerosol-generating or sputum-induction procedures in appropriate isolation or ventilated settings. Why the other choices are wrong Droplet precautions alone and a standard surgical mask on staff do not provide the recommended respiratory protection. Waiting for culture confirmation leaves others exposed during the diagnostic interval. Source 1CDC Tuberculosis Infection Control in Health Care Settings 2CDC Transmission-Based Precautions 32026 NCLEX-RN Test Plan ## Clinical scenario Pulmonary tuberculosis is suspected before microbiologic confirmation. The nurse initiates airborne precautions, applies source control during transport, and coordinates diagnostic specimen collection in an airborne-infection isolation or otherwise appropriately ventilated setting. ## Key concepts - **Airborne infection isolation room** — A negative-pressure single-patient room designed to prevent airborne contaminants from escaping to adjacent areas. - **Fit-tested N95 respirator** — A filtering facepiece respirator verified to seal appropriately to the individual wearer. - **Source control** — Placing a mask on a potentially infectious person to reduce dispersal of respiratory particles. ## Related questions - [A nurse is caring for a client newly admitted with suspected methicillin-resistant Staphyl…](https://mymerci.kr/pages/nclex_q.php?qn_id=360517&lang=en) - [A nurse is about to enter the room of a client with Clostridioides difficile infection dur…](https://mymerci.kr/pages/nclex_q.php?qn_id=361226&lang=en) - [A 22-year-old female client presents to the emergency department with a 4-week history of …](https://mymerci.kr/pages/nclex_q.php?qn_id=361677&lang=en) - [A 65-year-old client admitted to the medical ICU with sepsis and acute delirium has just p…](https://mymerci.kr/pages/nclex_q.php?qn_id=361679&lang=en) - [A new graduate registered nurse (RN) on a medical unit just hung an intravenous antibiotic…](https://mymerci.kr/pages/nclex_q.php?qn_id=361710&lang=en) - [A nurse is caring for a client newly admitted with active Clostridioides difficile infecti…](https://mymerci.kr/pages/nclex_q.php?qn_id=363996&lang=en) - [A nurse is caring for an adult client newly admitted with suspected active pulmonary tuber…](https://mymerci.kr/pages/nclex_q.php?qn_id=366306&lang=en) - [A nurse cares for a client newly admitted with a positive surveillance culture for vancomy…](https://mymerci.kr/pages/nclex_q.php?qn_id=366709&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=395636&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=395636&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=395636&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=395636&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=395636&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. Always follow current clinical guidelines and your institution’s protocols._