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concept of nursing 1
Tuberculosis
| Question | Answer |
|---|---|
| Which individuals are at risk for developing tuberculosis? | -A prison guard -A student born in South Africa -A homeless IV drug user -An individual with a low socioeconomic status |
| A patient presents with flu-like symptoms including fever, chills, chest pain, and a cough with blood-tinged sputum. Which classifications of tuberculosis would the nurse anticipate? | -Pulmonary tuberculosis -Active tuberculosis disease |
| The nurse notes a 5 mm of induration following a tuberculin skin test. For which patient would this be considered a positive test? | A patient who has been on high dose prednisone therapy for over a month to treat multiple sclerosis |
| A patient is receiving INH, rifampin, PZA, and ethambutol for an active TB infection. The results of the susceptibility testing of his sample reveal that the bacteria are resistant to INH and rifampin. The patient asks how this will change the treatment. | -- |
| What is the best response by the nurse? | “You will now receive bedaquiline and levofloxacin instead of what you were taking.” |
| A patient with tuberculosis presents with a high-grade fever, chills, and pleuritic chest pain and reports losing 10 pounds over the last month. The patient reports photophobia and an inability to maintain normal daily functioning due to the symptoms. | -- |
| How should this patient be cared for? | Admission to the hospital |
| A patient receiving INH, rifampin, PZA, and ethambutol develops diminished visual acuity and exhibits symptoms of color blindness. The patient asks which medication is causing the side effects. What is the best response by the nurse? | “Ethambutol.” |
| A patient with tuberculosis presents with a productive cough, dyspnea, and fatigue. A chest x-ray indicates fluid in the pleural cavity. Which is an appropriate goal for this patient? | Patient will have normal pulmonary function |
| A patient with latent tuberculosis infection and HIV says, “I have stopped taking my medication since I am not sick.” What is an appropriate response by the nurse? | “Taking the medication is critical to prevent the latent infection from becoming an active infection.” |
| A patient with anorexia, recent 12 lb weight loss, fever, and hemoptysis. | Airborne infection isolation |
| Giving a bath to a patient with a positive tuberculin test. | Wear a HEPA mask |
| An injured homeless man being discharged to homeless shelter. | Provide education about TB risk factors |
Created by:
Lightnning54
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