TB (Tuberculosis) EXAM COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!

TB (Tuberculosis) EXAM COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!! 1. The right forearm of a client who had a purified protein derivative (PPD) test for tuberculosis is reddened and raised about 3mm where the test was given. This PPD would be read as having which of the following results? A. Indeterminate B. Needs to be redone C. Negative D. Positive - Answer- 1. C. This test would be classed as negative. A 5mm raised area would be a positive result if a client was HIV+ or had recent close contact with someone diagnosed with TB. Indeterminate isn't a term used to describe results of a PPD test. If the PPD is reddened and raised 10mm or more, it's considered positive according to the CDC. 2. A client with primary TB infection can expect to develop which of the following conditions? A. Active TB within 2 weeks B. Active TB within 1 month C. A fever that requires hospitalization D. A positive skin test - Answer- 2. D. A primary TB infection occurs when the bacillus has successfully invaded the entire body after entering through the lungs. At this point, the bacilli are walled off and skin tests read positive. However, all but infants and immunosuppressed people will remain asymptomatic. The general population has a 10% risk of developing active TB over their lifetime, in many cases because of a break in the body's immune defenses. The active stage shows the classic symptoms of TB: fever, hemoptysis, and night sweats. 3. A client was infected with TB 10 years ago but never developed the disease. He's now being treated for cancer. The client begins to develop signs of TB. This is known as which of the following types of infection? A. Active infection B. Primary infection C. Superinfection D. Tertiary infection - Answer- 3. A. Some people carry dormant TB infections that may develop into active disease. In addition, primary sites of infection containing TB bacilli may remain inactive for years and then activate when the client's resistance is lowered, as when a client is being treated for cancer. There's no such thing as tertiary infection, and superinfection doesn't apply in this case. A client has active TB. Which of the following symptoms will he exhibit? A. Chest and lower back pain B. Chills, fever, night sweats, and hemoptysis C. Fever of more than 104*F and nausea D. Headache and photophobia - Answer- 4. B. Typical signs and symptoms are chills, fever, night sweats, and hemoptysis. Chest pain may be present from coughing, but isn't usual. Clients with TB typically have low-grade fevers, not higher than 102*F. Nausea, headache, and photophobia aren't usual TB symptoms. Which of the following diagnostic tests is definitive for TB? A. Chest x-ray B. Mantoux test C. Sputum culture D. Tuberculin test - Answer- 5. C. The sputum culture for Myobacterium tuberculosis is the only method of confirming the diagnosis. Lesions in the lung may not be big enough to be seen on x-ray. Skin tests may be falsely positive or falsely negative. A client with a positive Mantoux test result will be sent for a chest x-ray. For which of the following reasons is this done? A. To confirm the diagnosis B. To determine if a repeat skin test is needed C. To determine the extent of the lesions D. To determine if this is a primary or secondary infection - Answer- 6. C. If the lesions are large enough, the chest x-ray will show their presence in the lungs. Sputum culture confirms the diagnosis. There can be false-positive and false-negative skin test results. A chest x-ray can't determine if this is a primary or secondary infection. 7. A chest x-ray should a client's lungs to be clear. His Mantoux test is positive, with a 10mm if induration. His previous test was negative. These test results are possible because: A. He had TB in the past and no longer has it. B. He was successfully treated for TB, but skin tests always stay positive. C. He's a "seroconverter", meaning the TB has gotten to his bloodstream. D. He's a "tuberculin converter," which means he has been infected with TB since his last skin test. - Answer- 7. D. A tuberculin converter's skin test will be positive, meaning he has been exposed to an infected with TB and now has a cell-mediated immune response to the skin test. The client's blood and x-ray results may stay negative. It doesn't mean the infection has advanced to the active stage. Because his x-ray is negative, he should be monitored every 6 months to see if he develops changes in his x-ray or pulmonary examination. Being a seroconverter doesn't mean the TB has gotten into his bloodstream; it means it can be detected by a blood test. 8. A client with a positive skin test for TB isn't showing signs of active disease. To help prevent the development of active TB, the client should be treated with isonaizid, 300mg daily, for how long? A. 10 to 14 days B. 2 to 4 weeks C. 3 to 6 months D. 9 to 12 months - Answer- 8. D. Because of the increased incidence of resistant strains of TB, the disease must be treated for up to 24 months in some cases, but treatment typically lasts for 9-12 months. Isoaizid is the most common medication used for the treatment of TB, but other antibiotics are added to the regimen to obtain the best results. 9. A client with a productive cough, chills, and night sweats is suspected of having active TB. The physician should take which of the following actions? A. Admit him to the hospital in respiratory isolation B. Prescribe isoniazid and tell him to go home and rest C. Give a tuberculin test and tell him to come back in 48 hours and have it read. D. Give a prescription for isoniazid, 300mg daily for 2 weeks, and send him home. - Answer- 9. A. The client is showing s/s of active TB and, because of the productive cough, is highly contagious. He should be admitted to the hospital, placed in respiratory isolation, and three sputum cultures should be obtained to confirm the diagnosis. He would most likely be given isoniazid and two or three other antitubercular antibiotics until the diagnosis is confirmed, then isolation and treatment would continue if the cultures were positive for TB. After 7 to 10 days, three more consecutive sputum cultures will be obtained. If they're negative, he would be considered non-contagious and may be sent home, although he'll continue to take the antitubercular drugs for 9 to 12 months. 10. A client is diagnosed with active TB and started on triple antibiotic therapy. What signs and symptoms would the client show if therapy is inadequate? A. Decreased shortness of breath B. Improved chest x-ray C. Nonproductive cough D. Positive acid-fast bacilli in a sputum sample after 2 months of treatment. - Answer- 10. D. Continuing to have acid-fast bacilli in the sputum after 2 months indicated continued infection. 11. A client diagnosed with active TB would be hospitalized primarily for which of the following reasons? A. To evaluate his condition B. To determine his compliance C. to prevent spread of the disease D. To determine the need for antibiotic therapy. - Answer- 11. C. The client with active TB is highly contagious until three consecutive sputum cultures are negative, so he's put in respiratory isolation in the hospital. 12. A police officer brings in a homeless client to the ER. A chest x-ray suggests he has TB. The physician orders an intradermal injection of 5 tuberculin units/0.1 ml of tuberculin purified derivative. Which needle is appropriate for this injection? A. 5/8" to ½" 25G to 27G needle. B. 1" to 3" 20G to 25G needle. C. ½" to 3/8" 26 or 27G needle. D. 1" 20G needle. - Answer- 12. C. Intradermal injections like those used in TN skin tests are administered in small volumes (usually 0.5 ml or less) into the outer skin layers to produce a local effect. A TB syringe with a ½" to 3/8" 26G or 27G needle should be inserted about 1/8" below the epidermis. 13. A community health nurse is conducting an educational session with community members regarding TB. The nurse tells the group that one of the first symptoms associated with TB is: A. A bloody, productive cough B. A cough with the expectoration of mucoid sputum C. Chest pain D. Dyspnea - Answer- 13. B. One of the first pulmonary symptoms includes a slight cough with the expectoration of mucoid sputum