NUR 211: TEST 2 QUESTIONS
WITH ACCURATE SOLUTIONS
Pathophysiology of TB -- Answer ✔✔ Infectious disease caused by
Mycobacterium Tuberculosis which normally involves the lungs but any
organ can be infected.
Once inhaled, the particles will lodge into the bronchioles and alveoli. It
is aerophilic -Oxygen loving!
Starts as a latent infection and can later turn into active TB.
Symptoms: Cough lasting more than 3 weeks, chest pain, hemoptysis,
fatigue, night sweats, weight loss, chills, fever
TB Procedures -- Answer ✔✔ PPD Test
-Positive in all people regardless if >15 mm induration
-Inject intradermally in forearm
-Assess for induration in 48-72 hours
Interferon gamma release assays blood test
-Results in a few hours
Chest X-ray
-Abnormal
Sputum is the gold standard for diagnosis of TB
,-3 consecutive sputum cultures 8-24 hour intervals, in the morning is
best time
TB Isoniazid -- Answer ✔✔ Decreased B6 levels- anemia, glossitis,
rashes, mental status changes
Neurotoxicity- headache, confusion, limb weakness and numbness
Nurse Considerations: Monitor for peripheral neuropathy, tired,
irritable, depressed
TB Rifampin -- Answer ✔✔ Bodily fluids orange- sweat, tears, urine,
Photosensitivity
Liver problems- jaundice will appear in eyes first
Nurse Considerations: Educate on orange body fluids, Photosensitivity-
sunscreen, stay indoors & away from windows, covering clothing,
Assess for jaundice
TB Streptomycin -- Answer ✔✔ Watch out for tinnitus, ototoxicity,
neurotoxicity, and nephrotoxicity
Still used for TB but is not the first line of therapy anymore
Used to treat pts who cannot undergo the first line standard therapy
due to drug-resistant Mycobacterium tuberculosis
Given to patients that cannot take some of the first line meds due to
being pregnant or breastfeeding, take in place of whichever drug they
cannot take
TB Patient Education -- Answer ✔✔ Advise patient that they're no
longer contagious after 2-3 weeks of starting therapy
,Smoking cessation if patient smokes
Cover nose and mouth with tissue when producing sputum, wear
surgical mask when outside of negative pressure room, use proper
hand hygiene
After 2-3wks of treatment a sputum culture is needed every 2-4wks
with a neg. result
Restrict visitors, stay in separate rooms from other family members
and home should be well-ventilated
Be sure medication therapy is completed and taken as directed.
Medication is taking for up to 12 months. Teach side effects of
medications.
TB Transmission/PPE/Protection -- Answer ✔✔ Airborne Precautions- N-
95, gloves, gown, put patient in negative pressure isolation room and
cluster care
Hand hygiene and cover mouth and nose when cough/sneeze
Tested for TB 6 months after exposure to a positive
Which clinical manifestations is associated with a diagnosis of
tuberculosis? -- Answer ✔✔ Anorexia, Hemoptysis, Night Sweats
Which clinical manifestations is associated with TB? -- Answer ✔✔
Fatigue, Nausea, Low-grade Fever
The nurse obtains a laboratory report that shows acid-fast rods in a
clients sputum. Which disorder would the nurse consider may be
related to these results? -- Answer ✔✔ Mycobacterium Tuberculosis
, A client is being admitted to a medical unit with a diagnosis of
pulmonary tuberculosis. Which type of room would the nurse assign
this client? -- Answer ✔✔ Negative airflow room
A client is to undergo a tuberculin test as part of her prenatal workup.
Before administering the test, which information about the client would
the nurse obtain? -- Answer ✔✔ Whether the result of an earlier
tuberculin test was positive
After a client at an outpatient clinic has been diagnosed with active
tuberculosis, which action by the nurse is best? -- Answer ✔✔ Notify
the local public health department of the new diagnosis
Which action would the nurse take first after learning that sputum
cultures for a client with a chronic cough were positive for TB? --
Answer ✔✔ Place the client on airborne precautions
Which statement by a client with TB indicates the need for further
teaching after receiving instructions regarding isoniazid therapy? --
Answer ✔✔ I should apply sunscreen and wear sun protective clothing
while going outside
Which statement made by a client with tuberculosis started on
rifampin indicates effective teaching? -- Answer ✔✔ My sweat will turn
orange from this medication
WITH ACCURATE SOLUTIONS
Pathophysiology of TB -- Answer ✔✔ Infectious disease caused by
Mycobacterium Tuberculosis which normally involves the lungs but any
organ can be infected.
Once inhaled, the particles will lodge into the bronchioles and alveoli. It
is aerophilic -Oxygen loving!
Starts as a latent infection and can later turn into active TB.
Symptoms: Cough lasting more than 3 weeks, chest pain, hemoptysis,
fatigue, night sweats, weight loss, chills, fever
TB Procedures -- Answer ✔✔ PPD Test
-Positive in all people regardless if >15 mm induration
-Inject intradermally in forearm
-Assess for induration in 48-72 hours
Interferon gamma release assays blood test
-Results in a few hours
Chest X-ray
-Abnormal
Sputum is the gold standard for diagnosis of TB
,-3 consecutive sputum cultures 8-24 hour intervals, in the morning is
best time
TB Isoniazid -- Answer ✔✔ Decreased B6 levels- anemia, glossitis,
rashes, mental status changes
Neurotoxicity- headache, confusion, limb weakness and numbness
Nurse Considerations: Monitor for peripheral neuropathy, tired,
irritable, depressed
TB Rifampin -- Answer ✔✔ Bodily fluids orange- sweat, tears, urine,
Photosensitivity
Liver problems- jaundice will appear in eyes first
Nurse Considerations: Educate on orange body fluids, Photosensitivity-
sunscreen, stay indoors & away from windows, covering clothing,
Assess for jaundice
TB Streptomycin -- Answer ✔✔ Watch out for tinnitus, ototoxicity,
neurotoxicity, and nephrotoxicity
Still used for TB but is not the first line of therapy anymore
Used to treat pts who cannot undergo the first line standard therapy
due to drug-resistant Mycobacterium tuberculosis
Given to patients that cannot take some of the first line meds due to
being pregnant or breastfeeding, take in place of whichever drug they
cannot take
TB Patient Education -- Answer ✔✔ Advise patient that they're no
longer contagious after 2-3 weeks of starting therapy
,Smoking cessation if patient smokes
Cover nose and mouth with tissue when producing sputum, wear
surgical mask when outside of negative pressure room, use proper
hand hygiene
After 2-3wks of treatment a sputum culture is needed every 2-4wks
with a neg. result
Restrict visitors, stay in separate rooms from other family members
and home should be well-ventilated
Be sure medication therapy is completed and taken as directed.
Medication is taking for up to 12 months. Teach side effects of
medications.
TB Transmission/PPE/Protection -- Answer ✔✔ Airborne Precautions- N-
95, gloves, gown, put patient in negative pressure isolation room and
cluster care
Hand hygiene and cover mouth and nose when cough/sneeze
Tested for TB 6 months after exposure to a positive
Which clinical manifestations is associated with a diagnosis of
tuberculosis? -- Answer ✔✔ Anorexia, Hemoptysis, Night Sweats
Which clinical manifestations is associated with TB? -- Answer ✔✔
Fatigue, Nausea, Low-grade Fever
The nurse obtains a laboratory report that shows acid-fast rods in a
clients sputum. Which disorder would the nurse consider may be
related to these results? -- Answer ✔✔ Mycobacterium Tuberculosis
, A client is being admitted to a medical unit with a diagnosis of
pulmonary tuberculosis. Which type of room would the nurse assign
this client? -- Answer ✔✔ Negative airflow room
A client is to undergo a tuberculin test as part of her prenatal workup.
Before administering the test, which information about the client would
the nurse obtain? -- Answer ✔✔ Whether the result of an earlier
tuberculin test was positive
After a client at an outpatient clinic has been diagnosed with active
tuberculosis, which action by the nurse is best? -- Answer ✔✔ Notify
the local public health department of the new diagnosis
Which action would the nurse take first after learning that sputum
cultures for a client with a chronic cough were positive for TB? --
Answer ✔✔ Place the client on airborne precautions
Which statement by a client with TB indicates the need for further
teaching after receiving instructions regarding isoniazid therapy? --
Answer ✔✔ I should apply sunscreen and wear sun protective clothing
while going outside
Which statement made by a client with tuberculosis started on
rifampin indicates effective teaching? -- Answer ✔✔ My sweat will turn
orange from this medication
