HESI HIV and TB Case Study
How should the nurse respond? - ANS"They may stay, but they need to wear a mask."
What teaching should the nurse implement? - ANSExplain that the tuberculosis (TB) organism is
most often spread through the air.
What information should the nurse provide to the UAP on infection control practices? - ANSThe
implementation of airborne precautions for possible TB requires a private, negative pressure
room assignment.
What information should the nurse provide to the UAP? - ANSA fit-tested HEPA mask is
required for healthcare workers entering the room of someone suspected of having active TB.
Which tasks may the nurse delegate to the UAP? (Select all that apply. One, some, or all
options may be correct.) - ANSHave the UAP tell client that the specimen must be collected in
the early morning.
Provide client with three sterile specimen cups at his bedside.
Document the time and date that each sputum specimen was collected.
Which activity should client perform first upon awakening? - ANSObtain the first of three sputum
specimens for laboratory testing.
Which information should the charge nurse base a response about the PN's right to refuse care
for a client with HIV? - ANSThe PN may refuse to care for a client in circumstances in which risk
to the nurse outweighs the nurse's responsibility to care for a client, or if the assignment
conflicts with the nurse's ethical standards.
How should the nursing supervisor respond to the staff PN who does not want to care for client?
- ANS"I understand you want to protect your children. Please tell me your concerns regarding
caring for a client with HIV."
Which statements by client indicates that they understand why they are at risk for TB? (Select
all that apply. One, some, or all options may be correct.) - ANS"I realize my helper T cells are
diminished from HIV. Those are the cells needed to fight TB."
"I guess living in that homeless shelter increased my chances of getting TB."
How should the nurse preceptor respond? - ANS"That is not always true. A 5 mm induration is
considered positive for TB in a person with HIV."
How should the nurse reply? - ANS"To be most effective, HIV medications are prescribed on
different schedules."
How should the nurse respond? - ANS"They may stay, but they need to wear a mask."
What teaching should the nurse implement? - ANSExplain that the tuberculosis (TB) organism is
most often spread through the air.
What information should the nurse provide to the UAP on infection control practices? - ANSThe
implementation of airborne precautions for possible TB requires a private, negative pressure
room assignment.
What information should the nurse provide to the UAP? - ANSA fit-tested HEPA mask is
required for healthcare workers entering the room of someone suspected of having active TB.
Which tasks may the nurse delegate to the UAP? (Select all that apply. One, some, or all
options may be correct.) - ANSHave the UAP tell client that the specimen must be collected in
the early morning.
Provide client with three sterile specimen cups at his bedside.
Document the time and date that each sputum specimen was collected.
Which activity should client perform first upon awakening? - ANSObtain the first of three sputum
specimens for laboratory testing.
Which information should the charge nurse base a response about the PN's right to refuse care
for a client with HIV? - ANSThe PN may refuse to care for a client in circumstances in which risk
to the nurse outweighs the nurse's responsibility to care for a client, or if the assignment
conflicts with the nurse's ethical standards.
How should the nursing supervisor respond to the staff PN who does not want to care for client?
- ANS"I understand you want to protect your children. Please tell me your concerns regarding
caring for a client with HIV."
Which statements by client indicates that they understand why they are at risk for TB? (Select
all that apply. One, some, or all options may be correct.) - ANS"I realize my helper T cells are
diminished from HIV. Those are the cells needed to fight TB."
"I guess living in that homeless shelter increased my chances of getting TB."
How should the nurse preceptor respond? - ANS"That is not always true. A 5 mm induration is
considered positive for TB in a person with HIV."
How should the nurse reply? - ANS"To be most effective, HIV medications are prescribed on
different schedules."
