Answers 100% Correct
Blood in the urine
Renal Tuberculosis
Jaundice and abdominal pain
Hepatic Tuberculosis
Fever and night sweat
Pulmonary Tuberculosis
Which situation represents the most risk for spread of tuberculosis?
Sitting next to an infected person on 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."
For which patient would the nurse most likely prepare a Bacille-Calmette-Guerin (BCG) vaccine?
A physician caring for TB patients in endemic regions
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
INH
Rifampin
A patient who is HIV-positive tests positive on a tuberculin skin test. The patient has no signs of active
TB and a normal chest x-ray. Which treatment regimen does the nurse anticipate administering?
Isoniazid (INH) for nine months
CASE STUDY
Mr. Wimmer presents to the clinic with fatigue, malaise, and a fever of 101.5° F, and reports losing 15
pounds in the last three weeks. When the nurse indicates that she will be performing a tuberculin skin
test to test for TB, Mr. Wimmer indicates that he could not have TB because he has not had sexual
contact with anyone infected with TB.
Mr. Wimmer has stated that he cannot have TB because he has not had sexual contact with anyone
infected with tuberculosis. Which response is most appropriate?
Provide teaching on how tuberculosis is spread from person to person
Mr. Wimmer's tuberculin skin test was positive. Which nursing intervention should be performed
first?