A nurse in a provider's office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis? (Select all that apply)

weight gain

high-grade fever

Flushed cheeks

Night sweats

Blood in the sputum

Answer and Explanation

Correct Answer : D,E

Rationale:
A. Weight gain is not expected. Clients with pulmonary TB typically experience weight loss due to chronic infection and decreased appetite.
B. High-grade fever is not typical. TB usually causes a low-grade fever, especially in the afternoon.
C. Flushed cheeks are not a characteristic manifestation of TB. The client may appear pale and fatigued instead.
D. Night sweats are a classic symptom of TB due to the body’s response to chronic infection.
E. Blood in the sputum (hemoptysis) is a hallmark sign of pulmonary TB due to lung tissue damage and cavitation.

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Correct Answer is C

Explanation

Rationale:
A. Metabolic alkalosis is characterized by a high pH (>7.45) and elevated bicarbonate, which is not seen here.
B. Respiratory alkalosis presents with high pH (>7.45) and low PaCO₂ (<35 mm Hg). In this case, PaCO₂ is elevated, and pH is low, so this is incorrect.
C. Respiratory acidosis is indicated by a low pH (<7.35) and elevated PaCO₂ (>45 mm Hg). The client’s pH is 7.22, and PaCO₂ is 68 mm Hg, consistent with respiratory acidosis. The low respiratory rate (7/min) confirms hypoventilation as the underlying cause.
D. Metabolic acidosis shows low pH and low bicarbonate, but the bicarbonate here is normal (26 mEq/L), so this is incorrect.

A. Rhonchi B. Crackles C. Wheezes D. Stridor

Correct Answer is C

Explanation

Rationale:
A. Rhonchi are low-pitched, snoring-like sounds caused by secretions in the larger airways.
B. Crackles are intermittent, popping sounds heard when air passes through fluid-filled or collapsed alveoli, common in conditions like pneumonia or heart failure.
C. Wheezes are continuous, high-pitched squeaking or musical sounds heard mainly during expiration due to narrowed airways, which is characteristic of asthma.
D. Stridor is a harsh, high-pitched sound heard primarily during inspiration, often indicating upper airway obstruction.

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A nurse in a provider's office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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