11) The nurse is caring for several clients on a respiratory floor. The nurse should place the client with which condition in isolation?a.Fever and weight lossb.Negative QuantiFERON TB gold testc.Negative acid-fast bacillus (AFB) staind.Positive nucleic acid amplification test (NAAT)ANS: DThe NAAT is a new rapid test for the diagnosis of tuberculosis (TB). Results are available in less than 2 hours. A positive test is conclusive for TB, and the client should be placed in isolation per facility policy. A client with a negative QuantiFERON gold test would not have tuberculosis. Likewise, a client with a negative AFB would not have tuberculosis. The client with fever and weight loss could have tuberculosis, but diagnostic tests would be needed because these are nonspecific manifestations.12) The newly employed nurse received a bacillus Calmette-Gurin (BCG) vaccine before moving to the United States. The nurse needs to receive a tuberculin (TB) test as part of the pre-employment physical. What does the nurse do?
13)A client has multidrug-resistant tuberculosis (TB). What is the most important fact for the nurse to teach the client?14) The nurse is worried that a client who is not entirely reliable is being discharged home on therapy for multidrug-resistant tuberculosis. What strategy is the best to use forthis client?