# 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.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=620034&lang=en  
> language: en  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## Question

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.

Isolation and PPE

Place the client in a negative-pressure airborne infection isolation room.

Wear an N95 respirator when entering the client's room.

Wear a surgical mask when entering the client's room.

Place the client in a private room with the door open for ventilation.

Client Transport and Education

Have the client wear a surgical mask if transport out of the room is necessary.

Instruct the client to cover mouth and nose when coughing or sneezing.

Allow the client to use a regular mask when in the room with visitors.

Keep the client's door closed only at night.

## 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.

## In-depth explanation

Quick answer
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

## Clinical scenario

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.

## Key concepts

- **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.

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