TB

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Q1

Wilson is a 36-year-old migrant worker. He was admitted to the Hospital with a cough, unintended weight loss, and night sweats. He is staying with 6 friends in a one-bedroom apartment near the strawberry field where he works. The ED physician suspects Tuberculosis (TB).

· What diagnostic testing will the Provider order to confirm a diagnosis of TB?

· What Isolation precautions do you expect to be put in place and why?

· Describe the recommended treatment regimen for TB, including the rationale for combination drug therapy.

· Identify the reason compliance to medication therapy is often a concern in the patient with TB.

· What should be done for Wilson's 6 roommates?

Write a minimum of 3 paragraphs with 5 sentences per paragraph

Each paragraph should have a minimum of 5 sentences

This writing must have an introduction and conclusion part.

Each Discussion paragraph should have a minimum of 1 citation and a reference page.

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Q2

Part 1: 25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues.

Her current gestational age is 30 weeks.

She is O+ and all other lab values are normal. No noted STI's.

1. Group Beta Strep is missing from the labs - most often is obtained at 35 - 37 weeks gestation.

2. Without this information it is often determined to treat the patient anyway - presumptively to protect a premature baby from the risk.

3. What other information would you like to ask her?

4. What nursing intervention will you provide?

5. What screening tests are often obtained to help determine her risk for preterm labor.

6. And if it is determined she is in preterm labor what medications may you want to use with a doctors order?

7. Please also give dose, side effects and possible result of the medication.

NOTE: Include at least two references and intext citation for all references used