Question

Community Case: Communicable Disease Tub Case Part 1 Bradley Buchanan presents to the neighborhood nurse-run clinac with shortness of breath a persistent cough with blood-inged sputum, recent weight loss, and night sweats On ratsal assessment, the client has a fever of 101.4°F and gain in tas chest His other vital signs are as follows pulse 98 beats per minute, respirations 26 per minute, blood pressure 110/76 mm Hg, height 68 inches, and weght 140 pounds Mr Buchanan is 45 years old He is employed as a dishwasher at a local restaurant and lives at the local shelter with his wife, who is 8 months pregnant, and has 13-year-old son Mr Buchan is concerned that if he cannot go to work, he will lose the family's only income At this point, although Mr Buchanani's signs and symptoms and his fied protein dewative test results sectata indicate that he may have tuberculosis, the nurse must pursue fartha confirmation of the diagnosis Questions for students | What would be the masses et action 2. Should the worst do any testing on the

Answer 1

1. The first action test sputum smear microscopy to detect mycobacterium tuberculosis. The another test is rapid test Xpert MTB/RIF to identify TB and resistant to rifampicin, most important TB medicine. It can be done by 2hours and this test is now recommended by WHO(world health organization ).Active and drug susceptible TB disease is treated with a standard 6months course of 4antimicrobial drugs that are provided with information and support to the patient

2.Test should done entire family.

Advice to take precautions

Sputum culture

Isolation must required

Mask should provided