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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Trauma to the eye can lead to retinal detachment. Understanding any history of eye injuries is crucial for assessing the likelihood of detachment.
B. Lifting heavy objects can increase intraocular pressure, which may contribute to retinal detachment, particularly in individuals with existing vulnerabilities. This question is relevant for assessing risk factors.
C. While sodium intake is important for general health, it is not directly related to the risk of retinal detachment. This question is not relevant in this context.
D. This statement is somewhat correct but less directly relevant. While protecting the eyes from UV light is important for overall eye health and can help prevent conditions that might lead to retinal issues, it is not a primary factor associated with retinal detachment.
E. Long-term use of steroids can increase the risk of retinal detachment, particularly in patients with certain conditions (like high myopia). This question is important for identifying potential risk factors.
Correct Answer is D
Explanation
A. While daycare workers can be at risk for various infections, they are not typically considered at high risk for TB unless they are in close contact with TB-positive individuals. Therefore, this option does not present the highest likelihood of TB.
B. This individual is at a moderate risk for TB, especially if they are caring for patients with known TB or are in an environment where TB may be more prevalent. However, nursing homes are more often associated with other infections rather than being primary sources for TB outbreaks.
C. High school students are generally not at high risk for TB unless they have specific exposure or travel history. Without additional risk factors, this group does not exhibit a high likelihood of TB.
D. This option represents the highest likelihood of TB. Homeless individuals are at increased risk for TB due to factors such as crowded living conditions, poor nutrition, and lack of access to healthcare.
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