A client with suspected tuberculosis (TB) reports experiencing pleuritic chest pain. What does this symptom suggest to the nurse?
Gastroesophageal reflux disease (GERD)
Muscular strain or injury
Pleurisy or pleural inflammation
Anxiety or panic attack
The Correct Answer is C
A) Incorrect. GERD may cause chest discomfort, but it is not typically described as pleuritic chest pain.
B) Incorrect. Muscular strain or injury is a possibility, but pleuritic chest pain suggests inflammation of the pleura.
C) Correct. Pleuritic chest pain is a symptom of pleurisy or pleural inflammation, which can occur in TB.
D) Incorrect. While anxiety or panic attacks can cause chest discomfort, pleuritic chest pain is more likely related to a physical condition, such as pleural inflammation.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. LTBI does not always progress to active TB disease. Many individuals with LTBI do not develop active disease, especially if they have a strong immune system.
B) Incorrect. While the risk of progression is highest in the first two years after LTBI, it can occur at any time, and some individuals may progress years or even decades later.
C) Correct. LTBI rarely progresses to active TB, especially in individuals with a strong immune system. Most people with LTBI do not develop active disease.
D) Incorrect. LTBI carries a risk of progressing to active TB disease, although the risk is relatively low in many individuals.
Correct Answer is D
Explanation
A) Incorrect. LTBI can be treated on an outpatient basis and typically does not require hospitalization.
B) Incorrect. While multiple antibiotics may be used, the duration of LTBI treatment is usually several months.
C) Incorrect. Treatment for LTBI is recommended to prevent progression to active TB, especially in individuals at higher risk.
D) Correct. Completing the recommended treatment course for LTBI is essential to reduce the risk of developing active TB disease.
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