Level: Clinical
Difficulty: Medium
Subtopic: Transmission-based precautions
NCLEX: A 44-year-old client in airborne isolation is being evaluated for communicable respiratory infection. Assessment…
Microbiology Safety and Infection Prevention and Control
Case Study
A 44-year-old client in airborne isolation is being evaluated for communicable respiratory infection. Assessment data include isolation precautions ordered for confirmed pulmonary tuberculosis. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?
Question
A. "I will stop my medications when I feel better."
B. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
C. "I do not need to report mild symptoms unless they become unbearable."
D. "The nurse does not need to know about changes unless the provider asks."
B. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
C. "I do not need to report mild symptoms unless they become unbearable."
D. "The nurse does not need to know about changes unless the provider asks."
Rationale
Correct answer: B. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.