You are caring for a patient with a positive TB skin test (15mm), productive cough for two months, and unintentional weight loss. Which of the following orders will assist with the diagnosis of active tuberculosis? (Select All that Apply.)

A. CBC, BMP, HIV viral load, VDRL: While some of these tests (such as CBC and BMP) may provide useful information, they are not definitive for diagnosing active tuberculosis. The HIV viral load and VDRL (syphilis test) are unrelated to confirming TB infection. B. Vital signs every shift: Monitoring vital signs is important in any patient’s care, but it does not specifically assist with diagnosing tuberculosis. It is supportive but not diagnostic. C. Heart healthy diet: While maintaining good nutrition is important, especially if the patient has unintentional weight loss, a heart-healthy diet does not directly contribute to diagnosing or managing active tuberculosis. D. Chest x-ray: A chest x-ray is a crucial diagnostic tool for identifying active tuberculosis. It can reveal characteristic findings such as infiltrates, cavitation, nodules, or pleural effusions, which are highly suggestive of active pulmonary TB or other signs consistent with active TB. E. Collect specimen x3 mornings for acid-fast bacilli: Collecting sputum samples for acid-fast bacilli (AFB) smear and culture is a key diagnostic step in confirming active TB, as it identifies the presence of Mycobacterium tuberculosis in the sputum. F. Admit to a negative pressure room: A negative pressure room is essential to prevent the spread of airborne infectious diseases like tuberculosis however it is a measure to prevent spread of infection but it is not helpful in confirming diagnosis of TB.