Tuberculosis - Balaraj Case Study - Nursing Assignment Help

Assignment Task:

1. Wenyi's IGRA test was reported as "Positive". What is the risk that Wenyi will develop tuberculosis and what factors may increase this risk? 
Exercise 2:
Henry is a 59-year-old man who presents to the emergency department with haematuria and is given a provisional diagnosis of Tuberculosis. 
Please answer the following questions in relation to this scenario. Your answers should be justified with reference to at least 3 peer-reviewed articles: 
Diagnosis of Tuberculosis 1. Identify and describe the clinical history, signs, and symptoms that warrant further investigation for Tuberculosis. Principles of specimen collection for the diagnosis of Tuberculosis 
1. Identify the information that should be provided to Henry when asking him to produce a quality urine specimen for Tuberculosis testing and describe how this will benefit his to and health outcomes. 
2. What instructions should be provided to Henry when asking him to produce a quality sputum specimen for Tuberculosis testing and how this will benefit his care and health outcomes? 
Drug-resistant tuberculosis 
1. The attending medical officer reports that Henry may have drug-resistant Tuberculosis. What information obtained from Henry's clinical assessment (including investigations) would suggest a risk for drug-resistant tuberculosis and why will this information benefit his care and health outcomes? 
2. Identify and describe the classification of drug-resistant Tuberculosis. 
Exercise 3: 
Balaraj is a 21-year-old student who presented to the emergency department following the dehiscence of a left supraclavicular lymph node. Following clinical examination and investigation, he was given a provisional diagnosis of Tuberculosis, laboratory confirmation pending. 
Please answer the following questions in relation to this scenario. Your answers should be justified with reference to at least 2 peer-reviewed articles: Disease containment and prevention strategies 
1. Balaraj is assessed to determine isolation requirements. Identify and justify the information that is required to inform this assessment. 
2. Health care workers routinely perform clinical procedures which can lead to the transmission of Tuberculosis. Identify at least 5 clinical procedures that increase the risk for nosocomial transmission of Tuberculosis and describe the risk mitigation strategies for each. 
Treatment and medication management for people with tuberculosis 
Balaraj has commenced an empiric course of TB medication for confirmed disseminated tuberculosis. The TB physician and nurse discuss with Balaraj the medications prescribed, their possible side effects and interactions, anticipated duration of treatment and the supportive measures that will be implemented to promote his successful treatment completion. 

1. In accordance with international guidelines, describe the goals of Balaraj's TB treatment and identify who is responsible for the successful completion of his treatment. 
2. Identify and justify the attributes of Directly Observed Therapy (DOT) that promote successful treatment completion. 
3. Identify and describe factors that will require the duration of Balaraj's TB treatment to be extended? 
4. On the tenth day of TB treatment. Balarai reports feeling nauseous and vomiting the previous evening.

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