TB Questions

A nurse has reinforced discharge teaching with a client who was diagnosed with tuberculosis (TB) and has been on medication for 1½ weeks. The nurse knows that the client has understood the information if the client makes which statement?

"I should not be contagious after 2 to 3 weeks of medication therapy."

A nurse is caring for a hospitalized client with a suspected diagnosis of tuberculosis (TB). Which finding does the nurse expect to note during data collection?

Chills and night sweats

A client with active tuberculosis (TB) demonstrates less-than-expected interest in learning about the prescribed medication therapy. The nurse suggests to the health care team that this client ultimately may need:

Directly observed therapy

A nurse has given the client with tuberculosis instructions for proper handling and disposal of respiratory secretions. The nurse determines that the client understands the instructions if the client verbalizes which of the following?

Discard used tissues in a plastic bag.

A nurse is preparing to obtain a sputum specimen from the client. Which nursing action will facilitate obtaining the specimen?

Have the client take three deep breaths.

A nurse is preparing a client for the administration of a Mantoux skin test. The nurse determines that which body area is the appropriate area for injection of the medication? Select all that apply.

Inner aspect of the forearm Dorsal aspect of the upper arm Away from heavy pigmentation

A client with tuberculosis is being started on antitubercular therapy with isoniazid (INH). The nurse reviews the client's health care record to be sure that which of the following baseline studies have been completed before giving the client the first dose?

Liver enzymes

A gastric analysis is prescribed for a client with a suspected diagnosis of tuberculosis (TB). The nurse understands that the test is relevant in confirming this diagnosis because:

People can frequently swallow small amounts of sputum

A client who has been taking isoniazid (INH) for 1½ months complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing:

Peripheral neuritis

A nurse notes that a hospitalized client has experienced a positive reaction to the Mantoux skin test. Which action by the nurse is the priority?

Report the findings.

A nurse is collecting data from a client who is experiencing the typical clinical manifestations of tuberculosis (TB). The nurse would expect the client to report having symptoms of fatigue and cough that have been present for:

Several weeks to months

A nurse is gathering data on a client with a diagnosis of tuberculosis (TB). The nurse reviews the results of which diagnostic test that will confirm this diagnosis?

Sputum culture

Which of the following identifies the route of transmission of tuberculosis (TB)?

The airborne route

A client with tuberculosis (TB) asks a nurse about precautions to take after discharge from the hospital to prevent transmitting infection of others. The nurse develops a response to the client's question, based on the understanding that:

The disease is transmitted by droplet nuclei.

A nurse is admitting a client to the nursing unit who is suspected of having tuberculosis (TB). The nurse plans to admit the client to a room that has:

Venting to the outside, six air exchanges per hour, and ultraviolet light

A nurse is caring for several clients with respiratory disorders. Which client is at least risk for developing a tuberculosis infection?

A man who is an inspector for the U.S. Postal Service

The nurse is preparing a list of home care instructions for the client who has been hospitalized and treated for tuberculosis. Choose the instructions that the nurse will include on the list. Select all that apply.

Activities should be resumed gradually. A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated. Respiratory isolation is not necessary because family members have already been exposed. Cover the mouth and nose when coughing or sneezing and confine used tissues to plastic bags.

A nurse is collecting subjective and objective assessment data from a client admitted to the hospital with tuberculosis (TB). The nurse should expect to note which of the findings?

Complaints of night sweats

A client being discharged from the hospital to home with a diagnosis of tuberculosis (TB) is worried about the possibility of infecting the family and others. The nurse determines that the client would get the most reassurance from the knowledge that:

The family will receive prophylactic therapy, and the client will not be contagious after 2 to 3 consecutive weeks of medication therapy.

A nurse is reading the results of a Mantoux skin test on a client with no documented health problems. The site has no induration and a 1-mm area of ecchymosis. The nurse interprets that the result is:

Negative

A tuberculin test (Mantoux test) is administered to an individual infected with human immunodeficiency virus (HIV). Seventy-two hours later, the nurse checks the test site and documents the results as positive, indicating that the individual has been exposed to tuberculosis. Which of the following findings did the nurse note to make this interpretation?

An area of induration at the test site measuring 7 mm