NCLEX-RN

Category - Safety

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A male client being treated for tuberculosis asks the nurse when he is allowed to return to work. The nurse tells the client that he may return to work when:

A Mantoux test and a sputum culture are negative
A chest x-ray film and a sputum culture are negative
Two sputum tests and a chest x-ray are negative
Three sputum tests are negative

Explanation

Answer: D - After the initiation of antituberculosis therapy, a client must provide sputum specimens for culture every 2 to 4 weeks to detect the persistence of the acid-fast bacilli. The client may return to work after three negative sputum cultures, as he is considered noninfectious at that time.

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