A nurse is admitting a patient with suspected TB. What should the nurse do first before the patient arrives?
  1. Use universal precautions until a diagnosis is confirmed.
  2. Place the patient on contact precautions and put the appropriate isolation cart in front of the room for all staff and visitors to use.
  3. Delegate the setting up of the room to the nurse’s aide and review the chart.
  4. Notify the engineering department and call central supply for an airborne isolation cart.
Explanation
Answer: D- The nurse should notify the engineering department and central supply first. This reflects the nurse’s assessment of the patient. The engineering department needs to be notified so they can confirm the room the adequacy of the negative pressure status of the room. The correct isolation for a diagnosis of TB or suspected TB is airborne, not contact.
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