A patient presents to the emergency department with a persistent cough, night sweats, and unintentional weight loss. The chest X-ray shows upper-lobe infiltrates. What is the BEST initial action for the emergency nurse to take?
Obtain three sputum samples for acid-fast bacilli testing
Implement airborne precautions
Notify the local health department immediately
Administer first-line antituberculosis medications
Airborne precautions are the best initial action for a patient with suspected tuberculosis. TB spreads via airborne droplet nuclei, so the nurse should immediately place the patient in a negative-pressure room, don an N95 (or higher-level) respirator, and limit patient movement. Further diagnostic steps such as obtaining serial sputum samples can follow. Administering antituberculosis drugs or notifying public-health authorities are important but not the first priority because staff, visitors, and other patients must be protected from exposure before additional measures are taken.
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BCEN CEN
Environment and Toxicology Emergencies, and Communicable Diseases
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