A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first?

Nucleic acid amplification test (NAAT)

Sputum culture for acid-fast bacillus (AFB)

Chest x-ray

CT scan

Answer and Explanation

The Correct Answer is A

This is because a NAAT can detect the presence of Mycobacterium tuberculosis DNA in a sputum sample within hours, which can confirm the diagnosis and guide treatment decisions. A sputum culture for AFB can take several weeks to yield results, while a chest x-ray or a CT scan can only show suggestive findings but not confirm the diagnosis.

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Correct Answer is C

Explanation

This is because HSV-1 typically causes oral herpes, which manifests as cold sores or fever blisters around the mouth or lips.

A. CD4+ T-cell count B. Western blot analysis C. Quantitative RNA assay D. Viral load test

Correct Answer is B

Explanation

This is because Western blot analysis detects specific antibodies to HIV antigens and has a high specificity and sensitivity for HIV infection. CD4+ T-cell count measures the number of helper T cells in the blood and indicates the degree of immunosuppression in clients with HIV infection, but it does not confirm the diagnosis. Quantitative RNA assay and viral load test measure the amount of HIV RNA in the blood and indicate the level of viral replication and response to antiretroviral therapy, but they do not confirm the diagnosis.

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A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has viral rhinitis and a history of herpes simplex virus type 1 (HSV-1) lesions. The nurse should assess which of the following areas of the body for the recurrence of HSV-1 lesions?

Correct Answer is C

Explanation

A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the laboratory has the enzyme- linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis?

Correct Answer is B

Explanation

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?

A nurse in a provider's office is assessing a client who has AIDS. The nurse notes that the client has multiple and widespread raised, purplish- brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions?

A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this client?

A nurse is caring for a client who has HIV. Exhibits The client is at risk for developing .

A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?

A nurse is teaching a client who has hepatitis A about preventing transmission of the disease. Which is included in the teaching?