SCENARIO: You are a public health nurse working at a county.
SCENARIO: You are a public health nurse working at a county… SCENARIO: You are a public health nurse working at a county immunization and tuberculosis (TB) clinic. B.A. is a 51-year-old woman who wishes to obtain a food handler’s license and is required to show proof of a negative Mantoux (purified protein derivative [PPD]) test result before being hired. She came to your clinic 2 days ago to undergo a PPD test for TB. She has returned to have you evaluate her reaction.She is a natural-born American, has no risk factors according to the CDC guidelines. She has a 6-year history of type II Diabetes mellitus that is well controlled with Metformin. She admits that her mother had TB when she was a child but says she herself has never tested positive. She is angry at the proposition that she might have TB and says, “I feel just fine, and I don’t think all this is necessary.”The physician orders a chest x-ray (CXR) examination and informs B.A. that the image is clear, showing no signs of active TB infection. He tells her that she has class 2 TB, or a latent TB infection (LTBI), and that he will report her condition to the local public health departmentThe physician orders B.A. to begin a 12-dose, once-weekly regimen of isoniazid (INH) and Rifapentine (RPT) as directly observed therapy (DOT)B.A. is hired under the condition that she complies with LTBI therapy and will immediately report any signs and symptoms of active disease to the clinic. She reports weekly for her medications and finishes her 12 weeks of therapy without experiencing any significant effects. Image transcription textTemplate: SBAR S Situation: What is the situation you are calling about? Identify self, unit, patient, roomnumber Briefly state the problem, what is it, when it happened or started, and how severe B Background:Pertinent background information related to the situation could include the following: The admittin… Show more… Show more Health Science Science Nursing NURS 250
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