A nurse on a medical-surgical unit is caring for a newly admitted client with a diagnosis of R/O tuberculosis.

Which of the following findings should the nurse report to the provider?

Nurses' Notes

Day 1:

0900:

Client admitted from emergency department with hemoptysis, dull chest pain, increasing fatigue, anorexia, nausea, chest tightness, and 3.2 kg (7 Ib) weight loss in 2 weeks. Heart rate regular, lung sounds with crackles in bilateral upper lobes. No edema. Airborne precautions initiated upon admission.

Day 2:

Client reports shortness of breath, nausea, and fatigue. Crackles auscultated bilaterally throughout lung fields. Productive cough, with thick, blood-streaked sputum. Bowel sounds active, no edema.

Yellow sclera

Increasing AST level

Weight loss

Mantoux test result

Answer and Explanation

The Correct Answer is A

This is because tuberculosis can affect the liver and cause hepatotoxicity, especially if the client is taking anti-tuberculosis medications. The nurse should monitor the client's liver function tests, such as AST and ALT levels, and observe for signs of liver damage, such as yellow sclera, dark urine, clay-colored stools, and abdominal pain.

Nursing Test Bank

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Correct Answer is ["A","B"]

Explanation

Hepatitis A is an acute viral infection that affects the liver and is transmitted by fecal-oral route. It can be spread by contaminated food or water, or by close contact with an infected person. Practicing effective hand hygiene can reduce the risk of ingesting or spreading the virus. Avoiding serving raw foods, especially shellfish, can prevent exposure to contaminated food sources.

A. "I should apply sunscreen prior to going outside, even in the winter months." B. "I used to lie in the sun all the time, but now I know the tanning bed is a better option." C. "My father was treated for melanoma, but skin cancer isn't related to genetics." D. "Because I'm dark-complected, I won't have to worry about skin cancer."

Correct Answer is A

Explanation

This is because sunscreen protects the skin from ultraviolet (UV) radiation, which is a major risk factor for skin cancer. UV radiation can damage DNA and cause mutations that lead to abnormal cell growth and division. Sunscreen should be applied every day, regardless of the season or weather, as UV rays can penetrate clouds and reflect off snow and water.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["A","B"]

Explanation

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

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 community health clinic is administering seasonal inactive influenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following?

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?

A nurse is caring for a client who has a history of exposure to TB and symptoms of night sweats and hemoptysis. Which of the following tests should the nurse realize is the most reliable to confirm the diagnosis of active pulmonary TB?

A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area (TBSA)?

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?