The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Fatigue

Night sweats

Neuropathy

Weight loss

Non-productive cough

Low grade fever

Answer and Explanation

Correct Answer : A,B,D,E,F

A.   Fatigue is a common symptom of TB, especially in the early stages. The body's energy is used up fighting the infection, leading to feelings of tiredness.
B.   Night sweats are another common symptom of TB. The body's immune system works harder at night, leading to excessive sweating.
C.   While neuropathy can be a potential complication of TB, it's not a typical clinical manifestation in the early stages. Neuropathy is more likely to occur in advanced cases or if the TB infection has spread to other parts of the body.
D.   TB can cause weight loss due to decreased appetite, increased metabolic rate, and the body's use of energy to fight the infection.
E.   A cough is a common symptom of TB. In the early stages, the cough may be dry or non-productive, meaning there's no phlegm or mucus.
F.   A low-grade fever is another common symptom of TB. The body's temperature rises slightly as it fights the infection.

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Correct Answer is A

Explanation

A. Primary hypertension, also known as essential hypertension, is characterized by high blood pressure without an identifiable or specific medical cause. It is the most common type of hypertension, and its development is thought to result from a combination of genetic, environmental, and lifestyle factors.
B. This statement is misleading. While hypertension can be severe, primary hypertension is not defined by its severity or immediate life-threatening nature. Instead, primary hypertension can range from mild to severe, but the key characteristic is the absence of a specific underlying cause.
C. While treating hypertension is important, the term "essential" in primary hypertension refers to its lack of a known cause, not the urgency or necessity of treatment. This option could confuse the terminology as it does not accurately define the type of hypertension.
D. This statement describes secondary hypertension, which occurs as a result of another medical condition (e.g., kidney disease, hormonal disorders). Primary hypertension, in contrast, does not have a direct identifiable cause.

A. "We'll take his temperature every 4 hours." B. "We'll give him Tylenol for the pain." C. "We'll discard his toothbrush and buy another." D. "We'll continue to encourage him to drink lots of fluids."

Correct Answer is C

Explanation

A. While monitoring the child’s temperature is important for assessing fever and overall condition, it does not directly prevent the transmission of streptococcal infection. This response does not address methods to prevent spreading the illness to others.
B. Giving Tylenol (acetaminophen) can help relieve pain and reduce fever, which is important for the child’s comfort. However, this response does not address disease transmission prevention. It’s more about symptom management rather than infection control.
C. Discarding the toothbrush is a key infection control measure. Since the toothbrush can harbor bacteria from the throat, it’s essential to replace it after the child has been treated for streptococcal pharyngitis to prevent re-infection and reduce the risk of spreading the bacteria to others.
D. While encouraging fluid intake is important for recovery and can help soothe a sore throat, this response does not specifically address the prevention of disease transmission. It focuses more on the child’s care rather than controlling the spread of infection.

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The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A student nurse asks what "primary hypertension" is. What is the best response by the registered nurse?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is C

Explanation

In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first?

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