Sherpath—Ch31

What is the most important information for the nurse to convey to a patient who is beginning pharmacological therapy for the treatment of tuberculosis to ensure suppression of the disease?

"Take the medication exactly as prescribed."

Which virus is a strain of the bird flu?

H5N1

Which disorder of the lungs may feature a distinct "whooping" sound in children that may not be present in adults?

Pertussis

A patient is being treated with ciprofloxacin 500 mg PO twice daily due to possible exposure to inhalation anthrax. What is the nurse's best answer when the patient asks how long this medication must be taken?

"You will need to take the medication for about 2 months."

The nurse performs follow-up care for a group of patients who have previously had tuberculosis. Which patients are most at risk for developing secondary tuberculosis (TB)? Select all that apply.

-A 34-year-old with HIV infection -75-year-old who is recovering from a hip replacement -A 7-year-old who is undergoing chemotherapy for leukemia

What recommendations will the nurse make for a patient and his or her family about the prevention of pneumonia? Select all that apply.

-Avoid indoor pollutants. -Eat a healthy, balanced diet. -Avoid crowded areas during flu season and holidays.

A patient with suspected initial infection of tuberculosis (TB) is admitted to the respiratory intensive care unit (ICU). The nurse caring for the patient reviews the patient's recent chest x-ray. Where on the patient's chest x-ray will the nurse most likely find evidence of the patient's infection? Select all that apply.

-Left lower lobe -Right lower lobe -Right middle lobe

What signs and symptoms does the nurse anticipate to find in a patient diagnosed with tuberculosis? Select all that apply.

-Lethargy -Night sweats -Low-grade fever

Which pathological findings associated with pneumonia result in an increased respiratory rate and dyspnea? Select all that apply.

-Pain -Anxiety -Stimulation of J receptors

Which disorder of the lungs is caused by a fungus?

Coccidioidomycosis

A patient is about to begin drug therapy for the treatment of tuberculosis (TB). What information is most important for the nurse to give to this patient prior to the start of therapy?

Do not drink alcohol

What education will be provided for the family of a patient being treated for tuberculosis convalescing at home?

Everyone must undergo tuberculosis testing.

An older patient has a persistent cough with hemoptysis and has a known exposure to tuberculosis. A tuberculin skin test reveals a reaction of 5 mm. The nurse documents that this test result indicates which condition?

Human immunodeficiency disease

The radiology report of a patient who has had a chest x-ray shows consolidation in a segment of the patient's left lung. This is typical of which type of pneumonia?

Lobar

The nurse is caring for a pediatric patient with pertussis who is currently in the catarrhal phase of the illness. What manifestations will the nurse most likely find on assessment of this patient?

Mild cough

What consideration is important for the nurse to remember when managing the care of a patient with hospital-acquired pneumonia?

Monitor for early signs of sepsis.

A patient who has begun standard multidrug treatment for tuberculosis (TB) reports orange-tinged sputum and urine. The nurse tells the patient that this symptom represents which response to the treatment regimen?

Normal drug side effects of rifampin

A patient admitted to the medical surgical unit is suspected of having tuberculosis (TB). Which rapid screening for TB does the nurse anticipate to be ordered by the health care provider?

Nucleic acid amplification test

Which upper respiratory infection is often triggered by a hypersensitivity reaction to airborne allergens?

Rhinitis

A patient with pulmonary tuberculosis is being started on combination therapy. What does the nurse explain to the patient as the purpose of combination therapy?

To shorten therapy by 6 months