medium · NCLEX-RN Reduction of Risk Potential

A nurse receives a report that a client's sputum sample was positive for 'Acid-Fast Bacilli'.

Which immediate action reduces the highest risk to the staff and other clients?

  1. Place the client in an Airborne Infection Isolation Room (AIIR) and initiate N95 respirator use.
  2. Start the client on broad-spectrum IV antibiotics while waiting for the final culture, for this client.
  3. Perform a thorough skin assessment to check for signs of a secondary rash.
  4. Apply a surgical mask to the nurse before entering the room to perform an assessment, for this client.

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