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tuberculosis - ✔✔An infectious disease caused by mycobacterium
tuberculosis which affects the lungs but can also spread to other parts of
the body.
population at risk for tuberculosis - ✔✔immunocompromised (hiv) young
children, drug users, low weight,
tb screening - ✔✔tuberculin skin test/Mantoux test/PPD. Intradermal
injection of purified protein derivative. Check site in 48-72 hrs, CMI, positive
indicates exposure NOT an active infection
What information would you want to obtain from b.a. before interpreting
skin tests results as positive or negative? - ✔✔exposure to tb, positive test
before, vaccinated with bcg before
positive tb test - ✔✔swelling (induration) at the site of injection is more than
5 mm in diameter 48 to 72 hours after injection indicates exposure . also
hardness
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, active tb symptoms - ✔✔chronic cough, fatigue, chest pain, high fever,
night sweats, chills, sputum coughed from the lower respiratory tract may
contain blood, malaise, loss of appetite, unexplained weight loss
latent tb - ✔✔have a TB infection but bacteria remain in inactive state
causing no symptoms; also called inactive TB or TB infection but isn't
contagious; 90% of people will never develop active TB
tb pathophysiology - ✔✔mycobaterium pneuonia --> aspirated -> moves to
alveoli --> phagocytes try to remove --> inflamm occurs and secretions
produced --> can move through the blood and to other organs --> can
become dormant (encapsulated or in a tubercle)
tb precautions - ✔✔airborne precautions TB masks, respirator, pt will be on
respiratory isolation. Negative pressure room, vacuum in the room, keeps
the bacteria in the room. Ultraviolet light can destroy airborne bacteria
The nurse evaluating a tuberculin test result 72 hours after it was
administered notes an area of induration 9 mm in diameter. What additional
information would indicate to the nurse that this is a positive result? The
client: - ✔✔A.Was born in Southeast Asia.
B. Uses injected drugs.
C. Has HIV disease. (correct)
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