A nurse is caring for a client with suspected tuberculosis (TB) and observes that the client has developed cervical lymphadenopathy. What does this finding suggest?

The client has active pulmonary TB.

The client is experiencing an allergic reaction.

The client may have extrapulmonary TB.

The client has a secondary bacterial infection.

Answer and Explanation

The Correct Answer is C

A) Incorrect. Cervical lymphadenopathy is not specific to active pulmonary TB and can occur in extrapulmonary TB as well.

B) Incorrect. Allergic reactions typically do not result in cervical lymphadenopathy.

C) Correct. Cervical lymphadenopathy is often associated with extrapulmonary TB, as TB can affect various parts of the body, including lymph nodes.

D) Incorrect. Cervical lymphadenopathy is not necessarily indicative of a secondary bacterial infection.

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Correct Answer is C

Explanation

A) Incorrect. LTBI can progress to active TB disease if the immune system weakens or is compromised.

B) Incorrect. The risk of progression from LTBI to active TB is higher in individuals with weakened immune systems, not those with strong immune systems.

C) Correct. LTBI can remain dormant for years, and the risk of progression to active TB disease is higher when the immune system becomes compromised.

D) Incorrect. LTBI and active TB disease are distinct conditions, and LTBI does not always require immediate treatment. Treatment may be recommended for individuals at higher risk of progression to active disease.

A. "TB is primarily transmitted through contaminated food and water." B. "TB is mainly transmitted through respiratory droplets when an infected person coughs or sneezes." C. "TB is transmitted through sexual contact with an infected individual." D. "TB is primarily transmitted through contact with the skin lesions of an infected person."

Correct Answer is B

Explanation

A) Incorrect. TB is not primarily transmitted through contaminated food and water; it is mainly an airborne disease.

B) Correct. TB is primarily an airborne disease, and the bacteria can be transmitted through respiratory droplets when an infected person coughs, sneezes, or talks.

C) Incorrect. TB is not primarily transmitted through sexual contact.

D) Incorrect. TB is not primarily transmitted through contact with skin lesions. It primarily affects the lungs and is transmitted through the respiratory route.

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A nurse is caring for a client with suspected tuberculosis (TB) and observes that the client has developed cervical lymphadenopathy. What does this finding suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse about the role of latent tuberculosis infection (LTBI) in the development of active TB disease. What information should the nurse provide?

Correct Answer is C

Explanation

A nurse is educating a client about tuberculosis (TB). Which statement made by the client indicates a correct understanding of how TB is primarily transmitted?

Correct Answer is B

Explanation

A nurse is providing discharge instructions to a client with active tuberculosis (TB) who will continue treatment at home. The client asks about the need for isolation. What should the nurse advise?

A client with tuberculosis (TB) is prescribed a combination of medications. The client asks the nurse about the importance of completing the full course of treatment. What should the nurse emphasize?

A client diagnosed with active TB disease is prescribed a multidrug regimen. What is the primary purpose of using multiple drugs to treat TB?

A nurse is discussing the diagnostic evaluation of tuberculosis (TB) with a client. The client asks about the purpose of a chest X-ray in TB diagnosis. What is the nurse's best explanation?

A client is newly diagnosed with latent tuberculosis infection (LTBI). What should the nurse explain to the client about the management of LTBI?

A nurse is providing education to a client with active tuberculosis (TB) about the duration of treatment. The client asks how long they will need to take medications. What is the nurse's best response?

A client with suspected tuberculosis (TB) reports experiencing pleuritic chest pain. What does this symptom suggest to the nurse?

A client with tuberculosis (TB) asks the nurse about the importance of regular follow-up appointments during treatment. What should the nurse emphasize regarding follow-up care?