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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

Answer and Explanation

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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Correct Answer is A

Explanation

A) Correct. Sputum samples are often most concentrated with TB bacteria when collected in the morning, as they have had time to accumulate overnight.

B) Incorrect. Rinsing the mouth before collecting sputum may dilute the sample and reduce its accuracy.

C) Incorrect. Deep coughing is encouraged to obtain samples from the lower respiratory tract, where TB bacteria are more likely to be present.

D) Incorrect. Sputum samples should be collected in specific containers designed for this purpose to maintain sample integrity and avoid contamination.

A. "I can skip a few doses if I'm feeling better to save some medication for later." B. "Taking all my medications as prescribed will help prevent drug resistance." C. "I can stop taking the medication once my cough goes away." D. "I only need to take the medication when I experience severe symptoms."

Correct Answer is B

Explanation

A) Incorrect. Skipping doses, even when feeling better, can lead to drug resistance and treatment failure.

B) Correct. Taking all medications as prescribed is essential to prevent the development of drug-resistant TB.

C) Incorrect. TB treatment should be completed in its entirety, even if symptoms improve before the regimen is finished.

D) Incorrect. TB medications should be taken as prescribed, not solely based on symptom severity.

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A client with suspected tuberculosis (TB) reports experiencing pleuritic chest pain. What does this symptom suggest to the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining the process of collecting sputum samples for tuberculosis (TB) testing to a client. Which instruction should the nurse provide to ensure an accurate sample?

Correct Answer is A

Explanation

A nurse is providing education to a client with tuberculosis (TB) about the importance of adhering to the prescribed medication regimen. Which statement by the client indicates a correct understanding of medication adherence?

Correct Answer is B

Explanation

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