NCLEX Question of the Day

March 18, 2026

Safety and Infection Control QID 305

A nurse is educating a patient with tuberculosis (TB) on preventing disease transmission to family members. What is the most effective measure to recommend?

A:
Encourage family members to take prophylactic antibiotics.
B:
Patient should wear a surgical mask when in contact with others, especially during the initial phase of treatment.
C:
Limit outdoor activities to avoid exposure to others.
D:
Use separate utensils and bedding until the medication course is completed.

Explanation

While on TB treatment, especially during the contagious initial phase, patients should wear a surgical mask when around others to prevent airborne dispersal of Mycobacterium tuberculosis. Prophylactic antibiotics for family members should only be considered under medical advice after assessment. The use of separate utensils and bedding is not necessary for TB, as it is spread through the air and not by surface contact. Limiting outdoor activities does not prevent the transmission to cohabitating family members. The key to preventing spread within a household is reducing exposure to infectious droplets.

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