You are a new nursing graduate assigned to a busy Emergency Department (ED)

You are a new nursing graduate assigned to a busy Emergency Department (ED) at a level I Trauma Center. The ED has just been notified by local EMS that a multiple vehicle pile-up on the interstate has just occurred with several injuries.

You are a new nursing graduate assigned to a busy Emergency Department (ED)

College of Nursing: NRSE 3510

Global Health Case Study

The Global Health Case Study assignment is an individual assignment. It is to be in narrative format per
APA, 6th edition. A title page and reference page are requirements. A minimum of two references is to support your responses. The paper will be based on the following case study scenario.

Submit the Case Study to the D2L course dropbox by Friday, 10/9/20, at 11:59 pm.

Case Study Scenario

You are a new nursing graduate assigned to a busy Emergency Department (ED) at a level I Trauma Center. The ED has just been notified by local EMS that a multiple vehicle pile-up on the interstate has just occurred with several injuries.

The first victims to arrive in your ED is a family of four who recently immigrated to the United States from Nigeria in hopes of finding a better way of life. The family consists of a father, mother, and two pre-school children, ages 2 years and 4 years. None of their injuries appear life threatening. As an interpreter is interviewing the family you observe that the father has a very productive cough and you notify the ED physician immediately.

The physician orders a stat chest x-ray. The radiologist quickly informs the physician that the chest film reveals bilateral upper lobe infiltrates suggesting active pulmonary tuberculosis (TB). In assessing the father more thoroughly, he reports a 30-pound weight loss over the last 6 months, extreme fatigue, and night sweats. The ED physician gives the order to place the father in a negative pressure room located in the ED.

Based on the above information, answer the following questions in narrative format:

1. What anti-tuberculosis medications would the physician likely order for the father? Provide name, route, and possible doses of the medications.

2. What, if any, TB medications would be different for this father based on his country oforigin?

3. In addition to the chest x-ray, what other lab testing(s) that would be appropriate for the physician to order on the father?

4. How should the mother and two children be evaluate to determine their TB status? If their TB skin tests are positive, what follow-up is recommended?

5. What is the technique for reading a TB skin test?

6. The mother’s TB skin test is 0 mm; the 2-year old’s TB skin test reading is 6 mm; and the 4-year old’sTB skin test reading is 2 mm. Which readings would be interpret as positive andwhy?

7. In preparing the family for discharge home, what community agencies and resources would you contact?

8. Describe the global burden of TB. Which countries have the highest rates of TB? What are the challenges in TB treatment and control in high-risk countries?

Helpful references in completing the Case Study:
CDC: https://www.cdc.gov/tb/
World health Organization: http://who.int/tb/en/
Course textbook

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