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Asked by CoachButterfly3895
Ngong Lee is a 62-year-old woman who has been married to Daniel Lee for 42 years. Born and raised in Vietnam, Ms. Lee came to the United States after marrying her husband when she was 20. Their only child, John, died at age 22 in an automobile accident. His death devastated Ms. Lee, but over time, she adequately adjusted and coped with the loss. All of her brothers and sisters have passed away, but she has a few nieces and nephews who still live in Vietnam. She and Mr. Lee have no relatives nearby.
Ms. Lee has noticed a steady weight loss and lack of appetite over the past few weeks, ever since they returned from visiting relatives in Vietnam. At first, she was delighted with her new, slender figure, but as she continued to lose weight, she started to wonder whether she had cancer. This week she has been waking up at night wet with perspiration, and this afternoon she took her temperature and has a slight fever. As she thinks about it, she realizes she has been tired lately and decides that it is time to visit her healthcare provider. She makes an appointment at the local clinic and tells the nurse that she has lost 12 pounds in the past 3 weeks and describes her other symptoms. The nurse notices Ms. Lee coughing and asks when the cough started. Ms. Lee looks surprised and says she had not noticed that she had been coughing. The healthcare provider orders a chest x-ray, CBC with differential, PPD, and sputum specimen for culture. The healthcare provider advises the nurse to take appropriate precautions because tuberculosis is the suspected diagnosis.Â
ANSWER THE FOLLOWING QUESTIONS:
How will the nurse collect the sputum culture to reduce the spread of infection?
When Ms. Lee comes back in 48 hours, her PPD is negative. The chest x-ray ordered by the provider shows dense lesions in the apical and posterior segments of the lung consistent with a diagnosis of TB. Sputum culture results have not been returned yet. What does the nurse anticipate will be ordered for Ms. Lee?
If Ms. Lee is confirmed to have TB, what teaching will the nurse provide?
SCIENCE
HEALTH SCIENCE
NURSING
