Questions And Answers Verified 100% Correct
Which nursing actions are appropriate when caring for a client diagnosed with
tuberculosis? Select all that apply.
1. Place on droplet precautions.
2. Humidify oxygen when administered.
3. Request dietary consult.
4. Offer family members N95 masks.
5. Medication teaching. - ANSWER 2 3 5
The nurse should include which priority preventive measure when teaching a group of
adults about preventing the spread of tuberculosis?
1. Handwashing
2. Annual vaccination
3. Isolation
4. Covering mouth when coughing - ANSWER 3
The nurse is caring for a client with a diagnosis of active tuberculosis. Which symptoms
does the nurse expect this client to exhibit? Select all that apply.
1. Fever
2. Abdominal rigidity
3. Abnormal breathing sounds
4. Hypothermia
5. Decreased oxygen saturation - ANSWER 1 3 5
Question 5 of 5
Which instruction should the nurse provide to a client who has just received a PPD
(purified protein derivative)?
1. Return to the clinic in 48-72 hours to have the test read.
2. Take antiviral medication as prescribed.
3. Massage the subcutaneous injection site.
4. There may be a very small amount of bleeding on the forearm. - ANSWER 1
,The nurse is teaching about the epidemiology of tuberculosis (TB). Which statements
indicated the need for further teaching? Select all that apply.
1. "Tuberculosis (TB) is present in foreign-born individuals."
2. "Low socioeconomic groups are the most affected."
3. "The most affected age groups vary from 40 to 60 years old."
4. "About half of the HIV-infected population in the United States is affected by
Mycobacterium tuberculosis."
5. "Individuals with AIDS are the most prone to TB." - ANSWER 3 4
he nurse is assessing a patient with tuberculosis (TB). Which best describes the gas
exchange in the patient?
1. Alteration in gas exchange related to necrosis of lung tissue
2. Alteration in comfort: pain related to pleurisy
3. Risk for fluid volume deficit related to insensible losses from fever and tachypnea
4. Alteration in gas exchange: decreased related to impaired alveolar-capillary interface
- ANSWER 1
Which is the main cause of blood tinged, rust-colored sputum in a patient suffering from
tuberculosis (TB)?
1. The destruction of lung parenchyma tissue
2. The inflammatory process of the lungs
3. Decreased pH and increased carbon dioxide (CO2)
4. Tachypnea and tachycardia - ANSWER 1
The nurse is teaching about the pathophysiology of tuberculosis (TB). Which statement
made is correct?
1. "Destruction of the lung tissue occurs in the patient during granuloma formation."
2. "Pleuritic chest pain is the result of the sputum present."
3. "The unexplained weight loss is due to the destruction of lung tissue."
4. "Micro bleeds are the result of the collection of white blood cells in an attempt to wall
off the infection." - ANSWER 1
The nurse is assessing a patient who has developed orthopnea and rales. On further
investigation, the nurse finds that the patient often coughs up rust-colored sputum. The
patient also has night sweats and weight loss. Which kind of tuberculosis (TB) does the
nurse expect the patient to be diagnosed with in this situation?
1. Latent TB infection (LTBI)
2. Multidrug-resistant TB (MDR TB)
, 3. Primary progressive TB infection (PPTBI)
4. Primary TB infection (PTBI) - ANSWER 3
Which is true regarding primary progressive TB infection (PPTBI)?
1. It may develop in individuals who are exposed to bacterium.
2. It may mean that the first-line medications used for the treatment of TB will be
ineffective.
3. It is often asymptomatic and is only confirmed by positive sputum cultures and a
positive skin test.
3. It is only when the immune system becomes compromised that the disease can
become reactivated. - ANSWER 1
Which safety measures followed by the nurse when caring for a patient with suspected
tuberculosis (TB) infection can cause the spread of pathogens to other individuals?
1. Keeping the patient isolated in a private room with negative airflow
2. Donning an N95 mask respirator when entering the patient's private room
3. Instructing the visitors to wear a snug-fitting surgical mask when entering the patient's
private room
4. Ensuring that the patient leaves the negative pressure room connected to a SPO2
probe - ANSWER 4
Which nursing intervention should be considered a priority when caring for a patient with
tuberculosis (TB) infection?
1. Conducting a Mantoux Tuberculin skin test as prescribed
2. Isolating the patient in a private room with negative airflow
3. Conducting a chest x-ray per order of the provider
4. Administering first-line antitubercular medications as prescribed - ANSWER 2
Which classification of tuberculosis (TB) infection can be caused by primary or
secondary spread?
1. Multidrug-resistant TB
2. Latent TB infection
3. Primary TB infection
4. Primary progressive TB infection - ANSWER 1
the nurse applies this mask (N95) before entering a patient's room. What is the name of
this mask?
1. N95