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… Read More »
Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? Select all that apply. A. Auscultation of breath sounds. B. Auscultation of bowel sounds. C. Presence of chest pain. D. Presence of peripheral edema. E. Color of nail beds. … Read More »
A chest x-ray showed a client’s lungs to be clear. His Mantoux test is positive, with a 10mm of 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… Read More »
A client with pneumonia has a temperature of 102.6*F (39.2*C), is diaphoretic, and has a productive cough. The nurse should include which of the following measures in the plan of care? A. Position changes q4h. B. Nasotracheal suctioning to clear secretions. C. Frequent linen changes. D. Frequent offering of a bedpan.… Read More »
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 isoniazid, 300 mg daily, for how long? A. 10 to 14 days B. 2 to 4 weeks C. 3 to 6 months … Read More »
The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following? A. Decreased cardiac output. B. Pleural effusion. C. Inadequate peripheral circulation. D. Decreased oxygenation of the blood. Correct Answer: D. Decreased oxygenation of the blood. A client with pneumonia has less lung surface… Read More »
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… Read More »
Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? A. Coma B. Apathy C. Irritability D. Depression Correct Answer: C. Irritability Clients who are experiencing hypoxia characteristically exhibit irritability, restlessness, or anxiety as initial mental status changes. As… Read More »
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. … Read More »
A client with pneumonia has a temperature ranging between 101° and 102°F and periods of diaphoresis. Based on this information, which of the following nursing interventions would be a priority? A. Maintain complete bed rest. B. Administer oxygen therapy. C. Provide frequent linen changes. D. Provide fluid intake of 3 L/day.… Read More »