Meet the Client: Jeff Smith
Thirty-two-year-old Jeff Smith is admitted from his healthcare provider's 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 provider's 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 partner to stay in the room with him.
How should the nurse respond?
A) "Your healthcare provider wants you to get some rest."
Jeff is requesting an opportunity for psychosocial support, which should be honored by the nurse. B) "Your partner may stay, but only after we have the results of his tuberculin skin test." INCORRECT
Significant others may stay with appropriate protective equipment.
C) "Your partner may stay, but he needs to wear a mask."
Jeff's partner may stay in the room, but he should wear a mask to help decrease the possibility of contracting the TB organism.
D) "You don't want to risk infecting your partner with TB, do you?"
Jeff's partner has already been exposed. In addition, this response denies Jeff the support he is requesting.
Jeff's partner, Anthony, arrives. Jeff wants to know why a mask is necessary for people entering his room.
What teaching should the nurse implement?
A) Explain the use of a private room and mobile high-efficiency particle filters placed in the room.
These are necessary precautions against infectious, airborne diseases such as TB. However, providing this information does not answer Jeff's question.
B) Explain that the tuberculosis organism is most