Tuberculosis

The nurse is teaching a patient recently diagnosed with tuberculosis about measures to cope with the disease. Which instruction should the nurse include to minimize nutritional problems that are secondary to tuberculosis?

"Eat a high-protein, high-carbohydrate diet."

The nurse is teaching a patient receiving treatment for active tuberculosis. Which patient statement should indicate to the nurse that teaching has been effective?

"I need to try and quit smoking; I will look for a support group to help me do so."

A patient who recently immigrated to the United States and no known history has a positive PPD test. Which prescription should the nurse expect from the healthcare provider

"Begin single-drug prophylactic therapy."

A patient reports starting prophylactic isoniazid therapy. Which question should the nurse ask to determine the reason for this treatment approach?

"Did you have a positive tuberculosis skin test after previous negative ones?"

The nurse has provided teaching on multidrug treatment to a client with tuberculosis. Which statement by the client indicates that the teaching was​ effective?

Multiple drugs are necessary because of risk or resistance

A patient at 26 weeks of gestation is diagnosed with tuberculosis and asks if any of the treatments will harm the baby. Which response should the nurse provide?

"As the treatment options are considered, the potential harm to your baby will be considered against the benefit for you."

The infecting organism that causes tuberculosis is

Mycobacterium tuberculosis.

A patient with tuberculosis is prescribed ethambutol. Which instruction should the nurse provide to this patient?

"Monitor vision daily by reading newspapers and looking at the same blue object."

The nurse prepares teaching material on tuberculosis for a group of new nurses. Which pathophysiological process should the nurse explain that allows M. tuberculosis organisms to enter the lymphatic system and stimulate a cell-mediated immune response?

"Once surrounded by phagocytic cells, M. tuberculosis organisms continue to multiple slowly within the macrophage."

The family of a resident of a nursing home asks how the resident could develop tuberculosis. Which response should the nurse make that provides an accurate answer to this question?

"One of the risk factors for tuberculosis is living in close quarters with other individuals; living in a nursing home increases the risk."

`The nurse is assessing individuals who reside in a homeless shelter after learning of one resident being diagnosed with tuberculosis. Which individual should the nurse suspect as most likely to have tuberculosis?

52-year-old man complaining of fatigue, a dry cough, and night sweats

A patient with active tuberculosis is being admitted to an acute care facility. The nurse should request which type of room assignment for this patient?

Negative Airflow Room

The nurse caring for a client at risk for tuberculosis​ (TB) should include which symptoms of the disease when educating the​ client? Select all that apply. ​Low-grade morning fever Night sweats Fatigue Productive cough that later turns to a​ dry, hacking cough Weight loss

Night sweats Fatigue Weight loss

A nurse is caring for a client with tuberculosis​ (TB) who is taking rifampin for treatment of the disease. Which nursing interventions are appropriate for this​ client? Select all that apply. Administer the medication on an empty stomach. Monitor complete blood count​ (CBC), liver function​ studies, and renal function studies for evidence of toxicity. Record a baseline visual examination before initiating therapy. Administer the medication by deep intramuscular injection into a large muscle mass.

Administer the medication on an empty stomach. Monitor complete blood count​ (CBC), liver function​ studies, and renal function studies for evidence of toxicity.

The nurse is preparing teaching about the increased number of tuberculosis cases reported during the last year in the local community. For which population should the nurse focus to decrease the risk of spreading tuberculosis?

Adult residents in nursing homes

The nurse is caring for individuals in a homeless shelter. Which behavior should the nurse emphasize to help reduce the risk of tuberculosis in this population?

Avoid Injection drug use

The nurse in an inner city clinic is providing a health screening for a homeless client with a history of drug abuse. The client has a chronic nonproductive cough. For which should the nurse expect to screen this​ client?

Tuberculosis

The nurse notes a large number of Asian immigrants in a community. For which potential health problem should these community members be assessed?

Tuberculosis

The nurse is preparing to assess an older adult client admitted with tuberculosis. Which assessment finding does the nurse​ anticipate?

Cough

A college-aged student living in a fraternity house is diagnosed with active tuberculosis (TB). Which instruction should the nurse teach the patient about preventing the spread of infection?

Ensure that housemates are tested and receive prophylactic treatment if indicated.

The nurse is assessing the result of a tuberculin skin test. Which area of induration should the nurse identify that always indicates a positive response to a tuberculin test?

Greater than 15mm

The nurse is conducting a health history with a patient at risk for tuberculosis. Which question should the nurse ask to determine the patient's risk for latent tuberculosis?

Have you recently traveled outside of the country

A recent immigrant who has been living with multiple relatives in a small home is diagnosed with active tuberculosis. Which action should the nurse recommend to this patient?

Identifying close contacts for evaluation and treatment, if needed

The nurse is planning care for a client recently diagnosed with tuberculosis​ (TB). The client lives alone in an apartment and will continue treatment at home. When reviewing the​ client's history, the nurse notes that the client has had trouble complying with medication regimens in the past. Which nursing diagnosis is a priority for this​ client?

Ineffective Health Management

The public health nurse is assessing a group of immigrants living in a small area. On which subgroup should the nurse focus for disseminated tuberculosis or tuberculosis meningitis?

Infants and Young Children

The nurse is caring for a client who is admitted to the unit with tuberculosis​ (TB). Which type of isolation room is most​ appropriate?

Isolation room with an anteroom and negative airflow​ (air flows into the​ room)

A patient with tuberculosis has a history of liver damage caused by alcohol intake. Which medication prescription should the nurse question for this patient? Isoniazid( INH) Pyrazinamide (Tebrazid) Ethambutol hydrochloride (myambutol) Rifampin (Rifadin)

Isoniazid (INH)

The nurse suspects that a preschool patient may need an intradermal tuberculosis test. Which data should indicate to the nurse that this type of skin test is required?

Leukemia diagnosis (Compromised Immune System)

An adolescent client is brought to the emergency department​ (ED) with​ fatigue, weight​ loss, a dry​ cough, and night sweats. The family just recently immigrated to the United States. Based on this​ data, which potential risk should the nurse include when planning care for this​ client?

Pneumothorax

A patient has previously received a tuberculosis vaccine. Which diagnostic test should the nurse expect to be prescribed for this patient to test for tuberculosis?

QuantiFERON-TB Test (tspot)

A client with a previously healed tuberculosis lesion experiences lesion rupture that leads to active disease. Which type of tuberculosis does this client​ have?

Reactivation tuberculosis

The nurse is reviewing assessment data for a patient being evaluated for possible tuberculosis. Which information in the patient's history should the nurse note as a risk factor for tuberculosis? Obesity Recent Homelessness Current Smoker Age 62 years

Recent Homelessness

A patient is discharged on a treatment regimen for active tuberculosis. Which intervention should be a priority to enhance adherence to treatment?

Refer to the public health department for management and follow-up

A new resident in a nursing home has an initial negative result for the purified protein derivative (PPD) skin test. Which action should the nurse take next?

Repeat the PPD in 1-2 weeks

The nurse is discussing the organism that causes tuberculosis with colleagues. Which term should the nurse use to best describe the shape of this organism?

Rod

A patient has a positive purified protein derivative (PPD) test for tuberculosis. Which test should the nurse expect to be prescribed to definitively diagnose tuberculosis?

Sputum Culture

The charge nurse for a​ medical-surgical unit is notified that a client with tuberculosis​ (TB) is being transported to the unit. Which actions for infection prevention are the most appropriate in this​ circumstance? Select all that apply. Wear a respirator and gown when caring for the client. Perform hand hygiene only after leaving the room. Test all staff members for TB immediately. Stock the​ client's supply cart at the beginning of each shift. Have the client wear a mask when coming from admissions.

Wear a respirator and gown when caring for the client. Have the client wear a mask when coming from admissions.

An occupational health nurse is screening a new employee in a​ long-term care facility for tuberculosis​ (TB). The employee questions why purified protein derivative​ (PPD) testing is done twice. Which is the most appropriate response by the​ nurse?

​"There is an increased risk for a​ false-negative response for people who work in​ long-term care facilities. The​ two-step process is recommended to accurately screen for​ TB."