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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Xerostomia: Radiation therapy to the head and neck often damages the salivary glands, leading to xerostomia, or dry mouth. This can cause difficulty in speaking, swallowing, and an increased risk of oral infections. Providing oral hydration and saliva substitutes can help manage this side effect.

B. Epistaxis: While radiation therapy can cause mucosal irritation, epistaxis (nosebleeds) is not a common side effect. Epistaxis is more frequently associated with conditions such as nasal trauma, clotting disorders, or chemotherapy-induced thrombocytopenia rather than localized radiation therapy.

C. Tinnitus: Radiation therapy does not typically cause tinnitus, which is more commonly linked to ototoxic medications, prolonged noise exposure, or inner ear disorders. If a tumor or treatment affects the auditory structures, hearing-related symptoms may occur but are not a primary radiation side effect.

D. Diplopia: Double vision is not a usual complication of radiation therapy to the head and neck. Diplopia is more commonly associated with neurological conditions, cranial nerve dysfunction, or ocular disorders rather than radiation-induced effects on surrounding tissues.

A. Initiate oxygen therapy. B. Administer antibiotics. C. Obtain blood cultures. D. Begin an IV crystalloid infusion.

Correct Answer is A

Explanation

A. Initiate oxygen therapy: Sepsis can lead to tissue hypoxia and organ dysfunction due to impaired perfusion. Oxygen therapy is the priority to ensure adequate oxygenation, prevent respiratory failure, and support vital organ function.

B. Administer antibiotics: Broad-spectrum antibiotics are essential to treat the underlying infection, but they should be given after obtaining blood cultures to ensure accurate pathogen identification and prevent delays in appropriate therapy.

C. Obtain blood cultures: Blood cultures must be collected before antibiotic administration to identify the causative organism, but stabilizing the client's oxygenation and perfusion takes precedence in acute management.

D. Begin an IV crystalloid infusion: Fluid resuscitation is crucial for managing septic shock, but oxygen therapy should be initiated first to immediately improve oxygen delivery and prevent hypoxia-related complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 assessing a client who is receiving radiation therapy to the head and neck. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is planning care for a client who has a new diagnosis of sepsis. Which of the following interventions is the nurse's priority?

Correct Answer is A

Explanation

A nurse is caring for a client who has diabetes insipidus and has had a urinary output of 3,000 mL in the past 12 hr. Which of the following medications should the nurse expect to administer to the client?

A nurse in a provider's office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include?

A nurse is providing teaching to a client who is postoperative following a partial glossectomy. Which of the following instructions should the nurse include in the teaching?

A charge nurse is called to a client's room after a staff nurse reports a client has had a wound evisceration. Which of the following actions should the charge nurse take?

A nurse is planning care for a client who is experiencing seizures secondary to meningitis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

A nurse is caring for a client who had a total right hip arthroplasty. In which of the following positions should the nurse place the client to prevent complications?

A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?

A nurse is caring for a client who is postoperative following a total knee arthroplasty. Complete the following sentence by using the lists of options. The client is at the highest risk for ...... as evidenced by the client's ......