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 A

Explanation

A) Correct. Sputum samples are often most concentrated with TB bacteria when collected in the morning, as they have had time to accumulate overnight.

B) Incorrect. Rinsing the mouth before collecting sputum may dilute the sample and reduce its accuracy.

C) Incorrect. Deep coughing is encouraged to obtain samples from the lower respiratory tract, where TB bacteria are more likely to be present.

D) Incorrect. Sputum samples should be collected in specific containers designed for this purpose to maintain sample integrity and avoid contamination.

A. "You should avoid close contact with family members until your TB treatment is completed." B. "Wear a mask at all times when at home to prevent the spread of TB." C. "Good hand hygiene and covering your mouth when coughing can help reduce the risk of transmission." D. "There is no need for any special precautions at home; TB is not easily transmitted."

Correct Answer is C

Explanation

A) Incorrect. While it is essential to minimize close contact, isolation from family members is not typically necessary. Effective treatment and infection control measures can reduce the risk of transmission.

B) Incorrect. Wearing a mask at all times at home may not be necessary, but it is important to follow respiratory hygiene practices, especially when close to others.

C) Correct. Good hand hygiene and proper respiratory etiquette, such as covering the mouth when coughing, can help reduce the risk of TB transmission within the household.

D) Incorrect. TB can be transmitted in close household settings, so infection control measures are important to prevent transmission to family members.

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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 nurse is explaining the process of collecting sputum samples for tuberculosis (TB) testing to a client. Which instruction should the nurse provide to ensure an accurate sample?

Correct Answer is A

Explanation

A client with tuberculosis (TB) is concerned about the potential for spreading the disease to family members. What should the nurse advise the client regarding infection control measures at home?

Correct Answer is C

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 nurse is providing education to a client who has been diagnosed with active tuberculosis (TB). Which of the following instructions should the nurse emphasize to the client regarding medication adherence?

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?

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 with active tuberculosis (TB) disease asks the nurse why they need to take multiple antibiotics for treatment. What is the nurse's best response?

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

A nurse is caring for a client with suspected tuberculosis (TB) who has provided sputum samples for testing. Which laboratory test is used to confirm the presence of Mycobacterium tuberculosis in sputum samples?

A nurse is educating a client about the risk factors for tuberculosis (TB). Which statement made by the client indicates a correct understanding of the risk factors for TB?