Question

community case communicable

ew Insert Format Tools Table Window Help SUSE: Community CommunicableTB_Case1_DP - Compatibility Mode Design Layout References Mailings Review View 12A A Aa A 21 ABCD AaBbcc Aabe - x * ADA SEO FOCUS Body FOCUS Head Community Case: Communicable Disease: Tuberculosis Case Part 1 Bradley Buchanan presents to the neighborhood nurse-run clinic with shortness of breath a persistent cough with blood-tinged sputum, recent weight loss, and night sweats. On initial assessment, the client has a fever of 101.4°F and pain in his 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 weight 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 his 13-year-old son. Mr. Buchanan is concerned that if he cannot go to work, he will lose the family's only income. At this point, although Mr. Buchanan's signs and symptoms and his purified protein derivative test results seem to indicate that he may have tuberculosis, the nurse must pursue further confirmation of the diagnosis. Questions for students: 1. What would be the nurse's next action? 2. Should the nurse do any testing on the client or his family?

Answer 1

1.spurum test can only confirm the diagnosis of tuberculosis.so the nurse should collect the sputum of the patient to make sure the tuberculosis.if only PPD is positive that only not indicates tuberculosis.

2.nurse need not to do any check up of his family members untill they show any signs of tuberculosis.Tell them to take precautions till the result of sputum comes.then only she can take decisions .other family members need to be montiored till that time.