and Answers
Tuberculosis
infectious disease that is a primary cause of death worldwide. It usually involves the lungs, but any
organ may be infected. It is the leading cause of mortality in patients with human immunodeficiency
virus (HIV) and/or acquired immunodeficiency syndrome (AIDS).
Match the type of tuberculosis with the patient symptoms.
Blood in the urine
Renal Tuberculosis
Jaundice and abdominal pain
Hepatic Tuberculosis
Fever and night sweats
Pulmonary Tuberculosis
Which situation represents the most risk for spread of tuberculosis?
Sitting next to an infected person on an airplane
Tuberculosis transmission requires close, frequent, or prolonged airborne exposure, which could be
established by sitting next to a person in a confined place like an airplane.
An otherwise healthy patient with no history of tuberculosis elicits a significant reaction (Class 2) on a
routine tuberculin skin test for employment. The patient asks the nurse what the reaction means.
How should the nurse respond to the patient?
"You have an inactive TB infection with no sign of the disease."
Class 2 is a significant reaction to a tuberculin skin test, no clinical evidence of TB, and TB infection
without disease. This person is otherwise healthy with no signs or symptoms, which most closely
matches this class of tuberculosis.
For which patient would the nurse most likely prepare a Bacille-Calmette-Guerin (BCG) vaccine?
A physician caring for TB patients in endemic regions
Any health care worker who is continually exposed to patients with TB should receive the BCG
vaccine.
A patient with acute tuberculosis is treated with INH, rifampin, PZA, and ethambutol for eight weeks.
Drug susceptibility testing indicates the bacteria are susceptible to all four drugs. The patient asks the
nurse if this means the therapy will change. The nurse explains the patient will likely receive which
drugs as a continuous therapy?
PZA
PZA should be used as continuous therapy when the drug susceptibility test results indicate that the
bacteria are susceptible to all drugs.
INH
INH should be used as continuous therapy when the drug susceptibility test results indicate the
bacteria are susceptible to all drugs.
Rifampin