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Please Provide Rationale Assignment Help: How to Answer This Question

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to please provide rationale and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves please provide rationale. A strong answer should include explanation, application, and examples.

Original Question

Can you please provide rationale with each answers. thank you Case 1: Respiratory Isolation A 31-year-old man presented to the Emergency Department (ED) after experiencing gross hemoptysis. He had a 2-month history of productive cough, a 25-pound weight loss, night sweats, and fatigue. A CXR revealed bilateral cavitary infiltrates. The initial sputum specimen was smear positive 4+ and was submitted for a Nucleic Acid Amplification Test (NAAT), culture, and sensitivity. The patient has a history of heavy alcohol and drug use. He is HIV negative, Hepatitis B and C positive, has a long history of cigarette use, and a chronic smoker’s cough. 1) The patient was admitted to the hospital, should he be placed in an Airborne Infection Isolation (AII) room? A. No, TB has not been confirmed yet. B. No, he should be admitted to a private room because he probably has lung cancer and isolation would be too distressing. C. No, he can be admitted into a shared room. D. Yes, he should be placed in an AII room The patient’s NAAT was positive for M. tuberculosis. He was immediately started on a standard four drug regimen and tolerated the medications well. After four days of hospitalization the provider called the local health department to report the person with TB disease and his intention to discharge the patient with a prescription for INH, RIF, PZA, EMB, and vitamin B6. 2) What is the appropriate response for the request to discharge? A. Document the patient information, fill the prescription as ordered and proceed with discharge plans. B. Document the patient information and inform the provider that the patient cannot be discharged until the prescription is filled by the local health department. C. Document the patient information and inform the provider that the patient does not meet the standard criteria for discharge. D. Document the patient information and discharge the patient with a follow-up appointment to the local health department. The patient was fairly cooperative during the first week of hospitalization, however, the nursing staff reported the patient had been out in the hallway a couple of times without his mask. The hospital staff was becoming anxious, so the provider called the local health department to coordinate the discharge. 3) What is the appropriate response to the provider’s request? A. Agree to coordinate discharge as long as the patient is on directly observed therapy (DOT). B. Advise the provider to delay discharge until 3 consecutive negative smears are received, patient has received a minimum of 10 days of treatment, and is clinically improving; or home arrangements have been made. C. Agree to coordinate the discharge since the patient is a nuisance in the hospital and keeping him there is doing more harm than good. D. Deny discharge until susceptibilities are known. The patient was visited in the hospital by a nurse from the local health department to coordinate his discharge. Based on recommendations from the local health department, the mother made arrangements to have the children stay next door with their grandmother as a precaution. 4) Regarding respiratory isolation precautions, what is an important task of this hospital visit? A. Educate the patient on TB infection control (home isolation precautions) in the home. B. To avoid a missed dose, have TB medications ready for the patient. C. Confirm that the patient completely understands the pathophysiology and transmission of TB. D. Establish a referral for smoking cessation classes. The patient was discharged home, and was adherent to home isolation precautions during the first week. Sputa were obtained by the local health department during his first week home, the results were still positive (1+ AFB smear, 0 AFB smear, 1+ AFB smear) and home isolation continued. At the next visit the patient was not home. The wife shared that “he got stir crazy,” went drinking with his friends Friday night, and has not been back since. 5) What should the local health department do at this point? A. Ask the wife’s assistance in locating the patient and leave contact information with instructions to call the local health department when the patient returns. B. Leave TB medications with the wife for the patient to self-administer. C. Report patient to police. D. No action needed

 
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