A client with active tuberculosis (TB) asks a nurse why they experience coughing up blood. What is the nurse's best response regarding this symptom?
"Coughing up blood is a common symptom of TB, and it is not a cause for concern."
"Coughing up blood is a sign of advanced TB and requires immediate hospitalization."
"Coughing up blood is unrelated to TB and may be due to another underlying condition."
"Coughing up blood can occur in TB, and it should be reported to your healthcare provider for evaluation and treatment."
The Correct Answer is D
A) Incorrect. While coughing up blood can occur in TB, it should not be considered common and should always be evaluated.
B) Incorrect. Coughing up blood should prompt evaluation and treatment but does not necessarily require immediate hospitalization.
C) Incorrect. Coughing up blood is a concerning symptom that should not be dismissed as unrelated to TB.
D) Correct. Coughing up blood (hemoptysis) is a possible symptom of TB and should be reported to a healthcare provider for further assessment and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Covering the mouth when coughing is important, as it helps prevent the spread of respiratory droplets to others.
B) Correct. Coughing and sneezing into a tissue or the elbow helps contain respiratory droplets and reduces the risk of transmission.
C) Incorrect. Wearing a mask when coughing can be beneficial to prevent the spread of respiratory droplets, especially in crowded settings.
D) Incorrect. Ventilating living spaces by keeping windows and doors open, not closed, helps reduce the concentration of infectious particles in the air.
Correct Answer is A
Explanation
A) Correct. Isolation in a negative-pressure room is the standard precaution for preventing the transmission of TB in healthcare settings, as it helps contain airborne pathogens.
B) Incorrect. While handwashing is important for general infection control, it is not the primary measure for preventing TB transmission.
C) Incorrect. Wearing a surgical mask at all times is not sufficient to prevent TB transmission, especially in a healthcare setting.
D) Incorrect. Avoiding close contact with the client is not a practical measure for healthcare professionals providing care to TB patients. Proper isolation measures are more effective.
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