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?
"Chest X-rays are used to confirm the presence of TB bacteria in the lungs."
"Chest X-rays help assess the severity of TB symptoms and guide treatment decisions."
"Chest X-rays are primarily used to detect TB infection in the blood."
"Chest X-rays are not routinely used in TB diagnosis."
The Correct Answer is B
A) Incorrect. Chest X-rays do not confirm the presence of TB bacteria but can indicate lung abnormalities associated with TB disease.
B) Correct. Chest X-rays are valuable in assessing the extent of lung involvement, the presence of cavities, and other abnormalities related to TB. This information helps guide treatment decisions.
C) Incorrect. Chest X-rays are not primarily used to detect TB infection in the blood; they focus on lung and chest abnormalities.
D) Incorrect. Chest X-rays are routinely used in the diagnosis and management of TB, especially for assessing lung involvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. LTBI is not contagious, as the bacteria are dormant and not actively causing illness. Active TB disease, on the other hand, is contagious and can be transmitted to others through respiratory droplets.
B) Incorrect. LTBI is not contagious, whereas active TB disease is contagious.
C) Incorrect. LTBI and active TB disease have different symptoms and treatment approaches. LTBI has no symptoms, while active TB disease presents with symptoms and requires treatment to prevent progression.
D) Incorrect. LTBI does not always progress to active TB disease. In fact, many individuals with LTBI do not develop active disease, but they are at risk, especially if their immune system becomes compromised.
Correct Answer is D
Explanation
A) Incorrect. While coughing up blood can occur in TB, it should not be considered common and should always be evaluated.
B) Incorrect. Coughing up blood should prompt evaluation and treatment but does not necessarily require immediate hospitalization.
C) Incorrect. Coughing up blood is a concerning symptom that should not be dismissed as unrelated to TB.
D) Correct. Coughing up blood (hemoptysis) is a possible symptom of TB and should be reported to a healthcare provider for further assessment and management.
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