A male client has active tuberculosis (TB). Which of the following symptoms will be exhibited?
Fever of more than 104°F and anorexia
Headache and photophobia
Fatigue. night sweats, and hemoptysis
Chest and lower back pain
The Correct Answer is C
A. While fever and anorexia can occur with active TB, a fever of more than 104°F is uncommon. Typically, TB may cause a low-grade fever rather than such a high temperature. Anorexia is also present, but this option does not fully capture the classic symptoms of active TB.
B. These symptoms are not typical of tuberculosis. Headaches and photophobia are more associated with conditions affecting the central nervous system, such as meningitis or migraines. They do not specifically relate to active TB.
C. These symptoms are classic indicators of active tuberculosis. Fatigue and night sweats are common, and hemoptysis (coughing up blood) is a serious symptom that can occur in pulmonary TB. This combination of symptoms is a hallmark of the disease and would prompt further investigation.
D. While chest pain can occur due to lung involvement in TB, lower back pain is not a typical symptom of pulmonary TB. Chest pain might be experienced, but it is not as definitive as the other symptoms associated with active TB.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cyanosis is a late sign of hypoxia, occurring when oxygen saturation is significantly low. It's often visible in the mucous membranes and skin.
B. Restlessness is often one of the earliest signs of hypoxia. As oxygen levels decrease, the brain becomes deprived of oxygen, leading to changes in mental status, including restlessness, confusion, and agitation.
C. Increased respirations (tachypnea) can be a sign of hypoxia, but it's often a later response as the body attempts to compensate for decreased oxygen levels.
D. Hypertension is not a typical sign of hypoxia. In fact, severe hypoxia can lead to hypotension as blood pressure decreases.
Correct Answer is B
Explanation
A. Apnea refers to a temporary cessation of breathing. If a patient is experiencing apnea, there would be a complete stop in respiratory activity, which does not apply to a respiratory rate of 36 breaths per minute.
B. Tachypnea is defined as an increased respiratory rate, typically greater than 20 breaths per minute in adults. A respiratory rate of 36 breaths per minute falls well within this range, indicating that the patient is experiencing tachypnea.
C. Bradypnea refers to a decreased respiratory rate, usually defined as fewer than 12 breaths per minute. Since the patient’s rate is 36 breaths per minute, this option does not apply.
D. Orthopnea refers to difficulty breathing when lying flat and is not specifically related to the respiratory rate itself. It usually describes a positional dyspnea rather than a numerical measurement of breathing.
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