A nurse is admitting a client who has tuberculosis. Which of the following findings should the nurse expect?

Flushed cheeks

Severe headaches

Low-grade fever

Dry cough

Answer and Explanation

The Correct Answer is C

A. Flushed cheeks: Tuberculosis typically presents with systemic symptoms such as fever, night sweats, and weight loss rather than flushed cheeks. Flushing is more commonly associated with fever spikes in other infections or conditions like menopause.

B. Severe headaches: Tuberculosis can cause headaches if it leads to tuberculous meningitis, but this is not a common initial symptom of pulmonary tuberculosis. Headaches are not a hallmark feature of active TB infection.

C. Low-grade fever: A persistent low-grade fever, particularly in the afternoon or evening, is a common symptom of tuberculosis. It is often accompanied by night sweats and weight loss due to the chronic inflammatory response.

D. Dry cough: The cough associated with tuberculosis is usually productive with purulent or blood-tinged sputum rather than dry. The infection causes lung tissue destruction, leading to a persistent cough with mucus production.

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Correct Answer is C

Explanation

A. Hypertension: Elevated blood pressure is not a typical sign of bleeding. In cases of significant blood loss, compensatory mechanisms usually lead to hypotension rather than hypertension due to reduced circulating volume. A hypertensive response may occur due to pain or stress but does not indicate hemorrhage.

B. 2+ edema: Postoperative edema can occur from fluid shifts, inflammation, or IV fluid administration but is not a direct indicator of active bleeding. Bleeding is more likely to cause signs of hypovolemia, such as tachycardia or hypotension, rather than localized swelling.

C. Tachycardia: A common early sign of bleeding, as the body compensates for decreased blood volume by increasing heart rate to maintain oxygen delivery. Persistent tachycardia in a postoperative client should raise suspicion for internal bleeding, especially if accompanied by hypotension or pallor.

D. Crackles in lungs: Crackles are usually linked to fluid overload, pneumonia, or heart failure rather than bleeding. Pulmonary congestion may develop after aggressive IV fluid resuscitation, but bleeding primarily manifests with hemodynamic instability rather than respiratory symptoms.

A. A palpable thrill at the fistula site B. Hyperglycemia C. Altered mental status D. Decrease in weight

Correct Answer is C

Explanation

A. A palpable thrill at the fistula site: A palpable thrill is a normal finding that indicates proper blood flow through the arteriovenous fistula. The absence of a thrill would be concerning, as it may suggest clotting or dysfunction of the vascular access.

B. Hyperglycemia: Hemodialysis does not typically cause hyperglycemia. Clients with diabetes may experience fluctuations in blood glucose levels, but dialysis itself is more commonly associated with hypoglycemia due to the removal of glucose from the bloodstream.

C. Altered mental status: Neurological changes such as confusion, restlessness, or decreased responsiveness may indicate dialysis disequilibrium syndrome (DDS). This complication results from rapid fluid and solute shifts, leading to cerebral edema. It is a serious condition requiring immediate intervention.

D. Decrease in weight: A decrease in weight following hemodialysis is expected due to fluid removal. Clients are weighed before and after dialysis to monitor fluid balance, and weight loss after treatment indicates effective fluid removal rather than a complication.

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A nurse is admitting a client who has tuberculosis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 3 hr postoperative. Which of the following findings should the nurse understand is a manifestation of bleeding?

Correct Answer is C

Explanation

A nurse is caring for a client who has chronic kidney failure. The client received hemodialysis 1 hr ago. The nurse should identify that which of the following findings is a manifestation of a complication related to the procedure?

Correct Answer is C

Explanation

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