INFECTION

A high-risk adolescent is given a tuberculin intradermal skin test to detect tuberculosis infection. How long after the test is administered should the results be evaluated?

48 to 72 hours

A recent immigrant is diagnosed with pulmonary tuberculosis (TB). Which intervention is the most important for the nurse to implement with this client?

Developing a list of people with whom the client has had contact

The nurse is caring for a client with tuberculosis. Why should the nurse always encourage a client with tuberculosis to perform active range-of-motion (ROM) exercises three times a day?

For maintaining muscle strength

When preparing a presentation for a group of senior citizens, which vaccine would the nurse recommend that this age group receive annually?

INFLUENZA

A client diagnosed with tuberculosis was prescribed antitubercular therapy but stopped after 1 month because of difficulty with the medication scheduling. As a result, secondary drugs are being prescribed. Which nursing diagnosis would the nurse most likely identify?

Ineffective Self-Health Management

While caring for a patient with pneumocystis pneumonia, the nurse assesses flat, purplish lesions on the back and trunk. What does the nurse suspect these lesions indicate?

Kaposi's sarcoma

WHICH INTERVENTIONS WILL BE MOST EFFECTIVE IN PREVENTING THE SPREAD OF INFECTION IN THE HEALTH CARE SETTING?

PROPER HANDWASHING

When a disease infects a host a portal of entry is needed for an organism to gain access. What has been identified as the usual portal of entry for tuberculosis?

Respiratory system

A client has been diagnosed with AIDS and tuberculosis (TB). A nursing student asks the nurse why the client's skin test for TB is negative if the client's physician has diagnosed TB. The nurse's correct reply is which of the following?

The client's immune system cannot mount a response to the skin test.

A client has tested positive for tuberculosis (TB). While providing client teaching, which information should the nurse prioritize?

The importance of adhering closely to the prescribed medication regimen

Nursing students are reviewing the various infectious diseases that require transmission-based precautions. The students demonstrate understanding of the information when they identify which infectious disease as requiring airborne precautions?

Tuberculosis

A client is placed in isolation for suspected tuberculosis. Which action should the nurse take when entering the client's room?

Wear an N95 respirator.

The nurse is admitting four clients with infections to the medical-surgical unit, but only one negative pressure room is available. Which client is it most appropriate to assign to the negative pressure room?

a client with a cough who may have tuberculosis (TB)

A nurse is caring for a 52-year-old client who has been diagnosed with a latent tuberculosis infection. The health care provider is considering ordering isoniazid (INH). The preexistence of what condition would require cautious use of INH in this client?

cirrhosis of the liver

Which TB drug might cause OPTIC neuritis?

ethambutol

Which TB med can lead to blindness?

ethambutol

Tuberculosis (TB) is a leading killer among people who have which concurrent medical diagnosis?

human immunodeficiency virus (HIV)

Which TB drug might cause Peripheral Neuritis?

isoniazid

What TB meds require you to monitor AST and ALT?

isoniazid pyrazinamide rifampin rifapentine

Which Meds should be avoided with rifabutin?

protease inhibitors

Which TB drug should you monitor uric acid with?

pyrazinamide

Which TB med can cause prophylaxis for neuritis?

pyroxidine and vit. b6

Which TB med causes orange urine, or other body excretions, and discoloring of contacts?

rifampin rifabutin Rifapentine

A client was admitted to the emergency department with a confirmed diagnosis of tuberculosis. To whom should the nurse report this diagnosis?

the public health department

Which TB drugs might cause HEPATOtoxicity?

this affects the liver isoniazid pyrazinamide rifampin rifampentine

A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare?

tuberculin syringe, 1/2-inch (1.25-cm) 26-gauge needle

The client reports cough, low-grade fever, anorexia, and night sweats. The client has also been coughing up blood at times. What disease does this client most likely have?

tuberculosis

A nurse is caring for a client on a four-medication regimen to treat tuberculosis. The nurse discovers that the client isn't taking all medications. What is appropriate for the nurse to say to the client?

"Taking several medications can be difficult. Tell me about the difficulties you're having."

A middle-aged client with a complex history has begun multidrug treatment for TB. Which assessment question is most therapeutic?

"What kinds of routines would work for you to ensure that you don't miss doses of your rifampin?"