Tuberculosis (TB) Case Study (60 min)
You're watching a preview. 300,000+ students are watching the full lesson.
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz
Included In This Lesson
Study Tools For Tuberculosis (TB) Case Study (60 min)
Tuberculosis Pathochart (Cheatsheet)
Tuberculosis Xray (Image)
Tuberculosis Assessment (Picmonic)
NURSING.com students have a 99.25% NCLEX pass rate.
Outline
Mrs. Bull is a 39 year old female who presents to the Emergency Department (ED) complaining of a persistent cough for the last 3 months. In the last 3 days, she’s been experiencing chills and night sweats and today she noticed she was coughing up blood.
Critical Thinking Check
Bloom's Taxonomy: Analysis
You suspect Mrs. Bull may have tuberculosis. What other personal and/or medical history questions do you need to ask to be sure?
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Application
What nursing assessments should be performed at this time for Mrs. Bull?
VIEW ANSWER
You assessment findings include rhonchi in the right upper lobe of Mrs. Bull’s lungs, normal S1 and S2 heart sounds heard, active bowel sounds, and 2+ peripheral pulses x 4 extremities. Her skin appears clammy and somewhat pale. Upon further questioning, Mrs. Bull reports recent travel to South America. She denies knowingly having a fever, but acknowledges she has been more fatigued lately and reports a recent unintentional weight loss of 20 lbs in the last 2 months. Vital signs are as follows:
BP 146/78 mmHg HR 92 bpm
RR 24 bpm Temp 101.2°F
SpO2 90% on room air
Critical Thinking Check
Bloom's Taxonomy: Application
What nursing action(s) should be taken at this time?
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Analysis
What diagnostic tests would you anticipate the provider ordering?
VIEW ANSWER
The ED Provider orders the following:
Chest X-Ray, Sputum Culture with AFB Smear, Blood Cultures x 2, Place PPD tuberculin skin test, Keep SpO2 > 92%, Administer the following medications:
-
Rifampin 600 mg PO daily
-
Isoniazide 300 mg PO daily
-
Pyrazinamide 1500 mg PO daily
-
Ethambutol 1200 mg PO daily
Critical Thinking Check
Bloom's Taxonomy: Analysis
Which order should you implement first? Second? Why?
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Application
What education should you provide to Mrs. Bull and her family at this time?
VIEW ANSWER
Mrs. Bull’s sputum cultures reveal she is, indeed, positive for Mycobacterium tuberculosis. Her PPD skin test reveals a 17 mm induration on her left arm after 48 hours. She is admitted to a general medical-surgical floor into a negative pressure room. She has now completed 3 weeks of RIPE therapy, which she tolerated well, and she no longer has a cough or other symptoms. Since she is no longer considered contagious, the doctor has ordered for her to be discharged home to continue the rest of her medication course.
Critical Thinking Check
Bloom's Taxonomy: Application
What discharge teaching will be required for Mrs. Bull?
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Analysis
Explain why medication compliance is so important for Mrs. Bull.
VIEW ANSWER
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
🎉 Special Offer 🎉
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
Adult 2 Final
Concepts Covered:
- Immunological Disorders
- Liver & Gallbladder Disorders
- Upper GI Disorders
- Neurological Emergencies
- Emergency Care of the Neurological Patient
- Central Nervous System Disorders – Brain
- Peripheral Nervous System Disorders
- Central Nervous System Disorders – Spinal Cord
- Infectious Respiratory Disorder
- Respiratory Disorders
- Noninfectious Respiratory Disorder
- Oncology Disorders
- Hematologic Disorders
- Oncologic Disorders
- Cardiac Disorders
- Acute & Chronic Renal Disorders
- Renal Disorders
- Urinary Disorders
- Vascular Disorders
- Emergency Care of the Cardiac Patient
- Pregnancy Risks
Study Plan Lessons
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Nursing Case Study for Rheumatoid Arthritis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
AIDS Case Study (45 min)
Hepatitis for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care Plan (NCP) for Hepatitis
Nursing Case Study for Hepatitis
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care Plan (NCP) for Cholecystitis
Cirrhosis Case Study (45 min)
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care and Pathophysiology for Pancreatitis
Cholecystitis for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care Plan (NCP) for Stroke (CVA)
Stroke (CVA) Management in the ER
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke for Certified Emergency Nursing (CEN)
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Nursing Care and Pathophysiology for Seizure
Nursing Care Plan (NCP) for Seizures
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Disorders for Certified Emergency Nursing (CEN)
Seizure Management in the ER
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Miscellaneous Nerve Disorders
Neuro Disorders Module Intro
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care Plan (NCP) for Tuberculosis
Tuberculosis (TB) Case Study (60 min)
Tuberculosis for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology of Pneumonia
Nursing Care Plan (NCP) for Pneumonia
Nursing Case Study for Pneumonia
Pneumonia
Pneumonia Concept Map
Pneumonia Labs
Asthma
Asthma Concept Map
Asthma for Certified Emergency Nursing (CEN)
Corticosteroids
Albuterol (Ventolin) Nursing Considerations
Nursing Care and Pathophysiology for Asthma
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
COPD Concept Map
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Chemotherapy Patients
Hematology/Oncology/Immunology Course Introduction
Colorectal Cancer (colon rectal cancer)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Prostate Cancer
Prostate Cancer
Breast Cancer
Breast Cancer Concept Map
Nursing Care Plan (NCP) for Breast Cancer
Nursing Case Study for Breast Cancer
Lung Cancer
Nursing Care Plan (NCP) for Lung Cancer
Cervical Cancer
Nursing Care Plan (NCP) for Cervical Cancer
Leukemia
Leukemia
Leukemia Case Study (60 min)
Nursing Care Plan (NCP) for Leukemia
Lymphoma
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Multiple Myeloma
Cardiovascular Disorders (CVD) Module Intro
Acute Kidney Injury Case Study (60 min)
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Case Study for Acute Kidney Injury
Renal Failure for Certified Emergency Nursing (CEN)
Chronic Kidney Disease (CKD) Case Study (45 min)
Chronic Renal (Kidney) Module Intro
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care Plan (NCP) for Chronic Kidney Disease
Hemodialysis (Renal Dialysis)
Peritoneal Dialysis (PD)
Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care Plan (NCP) for Renal Calculi
Renal Calculi for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care Plan (NCP) for Aortic Aneurysm
Congestive Heart Failure Concept Map
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
Heart Failure – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Angina
Nursing Care Plan (NCP) for Angina
Hypertension (HTN) Concept Map
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension for Certified Emergency Nursing (CEN)
Hypertensive Crisis Case Study (45 min)
Hypertensive Emergency
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care Plan (NCP) for Hypertension (HTN)
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care Plan (NCP) for Arterial Disorders