TB Nclex – Flashcard

A woman whose husband was recently diagnosed with active pulmonary tuberculosis (TB) is a tuberculin skin test converter. Management of her care would include: a) scheduling her for annual tuberculin skin testing. b) placing her in quarantine until sputum cultures are negative. c) gathering a list of persons with whom she has had recent contact. d) advising her to begin prophylactic therapy with isoniazid (INH).

The physician determines that a client has been exposed to someone with tuberculosis. The nurse expects the physician to order which of the following? a) Daily oral doses of isoniazid (Nydrazid) and rifampin (Rifadin) for 6 months to 2 years b) Isolation until 24 hours after antitubercular therapy begins c) Nothing, until signs of active disease arise d) Daily doses of isoniazid, 300 mg for 6 months to 1 year

After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against tuberculosis. The client's teenage daughter asks the nurse how long the drug must be taken. What is the usual duration of prophylactic isoniazid therapy? a) 3 to 5 days b) 1 to 3 weeks c) 2 to 4 months d) 6 to 12 months

A patient who has tuberculosis (TB) is being treated with combination drug therapy. The nurse explains that combination drug therapy is essential because: Recommendations for the initial treatment of tuberculosis 1 It minimizes the required dosage of each of the medications. 2 It helps reduce the unpleasant side effects of the medications. 3 It shortens amount of time that the treatment regimen will be needed. 4 It discourages the development of resistant strains of the TB organism

A patient began taking antitubercular drugs a week ago. The nurse reviews the patient's medical record and learns that the patient has a 10-year history of consuming one standard drink of alcohol three times a week. The patient states, "In the last week, my urine turned orange and I am very worried about it." How should the nurse respond? 1 Inform the patient that it is one of the side effects of the antitubercular drug rifampin. 2 Recognize that the tuberculosis may have spread to the liver, and further medical consultation is required. 3 Recognize that the liver may be damaged due to alcohol, and so a liver function test should be performed. 4 Instruct the patient to stop taking antitubercular drugs immediately and consult the primary health care provider.

The nurse cares for an immunocompetent patient. Which clinical manifestation is most indicative of pulmonary tuberculosis? 1 Mucopurulent sputum 2 Diarrhea and fatigue 3 Lymph node enlargement 4 Hematuria and dehydration

The patient with human immunodeficiency virus (HIV) has been diagnosed with Candida albicans, an opportunistic infection. The nurse knows the patient needs more teaching when the patient says, 1 "I will be given amphotericin B to treat the fungus." 2 "I got this fungus because I am immunocompromised." 3 "I need to be isolated from my family and friends so they won't get it." 4 "The effectiveness of my therapy can be monitored with fungal serology titers."

The nurse is caring for the patient with a productive cough. The nurse collects a sputum specimen for an acid-fast bacillus (AFB) smear. What collection time by the nurse is most appropriate? 1 6 AM 2 12 noon 3 6 PM 4 9 PM

A 48-year-old patient with sudden onset of respiratory distress is scheduled for a stat ventilation-perfusion scan. What explanations should the nurse provide to the patient about the procedure? 1 Radioisotope is injected and inhaled to examine the lungs. 2 You will be sedated during the test to prevent you from moving. 3 We need to be sure there is no metal in your body before this test. 4 You will feel a sensation of chest pressure as the dye circulates through your body.

The nurse cares for a patient with a diagnosis of tuberculosis. Which assessment finding best indicates that the patient has been following the prescribed treatment plan? 1 Negative sputum cultures 2 Clear breath sounds bilaterally 3 Decrease in the number of coughing episodes 4 Conversion of the Mantoux test from positive to negative

The nurse cares for a patient with tuberculosis who is taking isoniazid and rifampin. About which data found in the patient's health history is the nurse most concerned? 1 Hepatitis B 2 Asthma attacks 3 Rheumatic fever 4 Allergy to penicillin

When can airborne infection isolation for a patient with pulmonary tuberculosis (TB) be discontinued? 1 Once isoniazid drug therapy has been initiated 2 After three consecutive acid-fast bacillus (AFB) smears are negative 3 After effective instruction on the use of a high-efficiency particulate air (HEPA) mask 4 When two consecutive negative x-ray results are confirmed

To maintain patient safety, the nurse would question the health care provider about the prescription for prednisone if the patient also had which condition? 1 Systemic fungal infection 2 Diabetes mellitus 3 Congestive heart failure 4 Renal insufficiency

A client is prescribed rifampin (Rifadin), 600 mg P.O. daily. Which statement about rifampin is true? a) It's usually given alone. b) Its exact mechanism of action is unknown. c) It's tuberculocidal, destroying the offending bacteria. d) It acts primarily against resting bacteria.

A client admitted to the facility for treatment for tuberculosis receives instructions about the disease. Which statement made by the client indicates the need for further instruction? a) "I will have to take the medication for up to a year." b) "This disease may come back later if I am under stress." c) "I will stay in isolation for at least 6 weeks." d) "I will always have a positive test for tuberculosis."