Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present? A. Dehydration B. Group living C. Malnutrition D. Severe periodontal disease Correct Answer: B. Group living Clients with chronic illnesses generally have poor immune systems. Often, residing in group… Read More »
A comatose client needs a nasopharyngeal airway for suctioning. After the airway is inserted, he gags and coughs. Which action should the nurse take? A. Remove the airway and insert a shorter one. B. Reposition the airway. C. Leave the airway in place until the client gets used to it. D.… Read More »
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. Correct Answer: D. A positive skin test. A primary… Read More »
A client is experiencing confusion and tremors is admitted to a nursing unit. An initial ABG report indicates that the PaCO2 level is 72 mm Hg, whereas the PaO2 level is 64 mm Hg. A nurse interprets that the client is most likely experiencing: A. Carbon monoxide poisoning B. Carbon dioxide narcosis … Read More »
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 … Read More »
A client who is HIV+ has had a PPD skin test. The nurse notes a 7-mm area of induration at the site of the skin test. The nurse interprets the results as: A. Positive B. Negative C. Inconclusive D. The need for repeat testing. Correct Answer: A.… Read More »
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. Correct Answer: B. Chills, fever, night sweats, and hemoptysis… Read More »
A nurse is caring for a client diagnosed with TB. Which assessment, if made by the nurse, would not be consistent with the usual clinical presentation of TB and may indicate the development of a concurrent problem? A. Non Productive or productive cough B. Anorexia and weight loss C. Chills and night… Read More »
Which of the following diagnostic tests is definitive for TB? A. Chest x-ray B. Mantoux test C. Sputum culture D. Tuberculin test Correct Answer: C. Sputum culture The sputum culture for Mycobacterium tuberculosis is the only method of confirming the diagnosis. Mycobacterial culture is the gold standard… Read More »
A nurse is teaching a client with TB about dietary elements that should be increased in the diet. The nurse suggests that the client increase intake of: A. Meats and citrus fruits B. Grains and broccoli C. Eggs and spinach D. Potatoes and fish Correct Answer: A.… Read More »