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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Free Nursing Study Resources

Correct Answer is ["A","D","E","G"]

Explanation

Pain level: The client's reported pain level decreased from 7 to 5 after receiving nitroglycerin and oxygen therapy. A reduction in pain indicates that the treatment is effective and the client's condition is improving.
Heart rate: The heart rate decreased from 120/min to 100/min between assessments, suggesting improved cardiac function and stability. A lower heart rate can indicate a better response to treatment and improved hemodynamic status.
Blood pressure: The blood pressure improved from 176/82 mm Hg to 110/62 mm Hg, indicating a more stable hemodynamic status. However, it is important to ensure that the blood pressure does not drop too low; overall, the trend suggests an improvement in circulation.
Oxygenation saturation: The oxygen saturation improved from 89% on room air to 93% after oxygen therapy was initiated. An increase in oxygen saturation indicates improved respiratory function and effective oxygenation, which is critical for recovery in clients with cardiac issues.

Urinary output: There is no documented information regarding the client's urinary output in the provided data, making it difficult to assess improvement in this area. Monitoring urinary output is essential for evaluating kidney function and fluid balance, but it cannot be determined from the available information.
Echocardiogram results: The echocardiogram results indicated a myocardial infarction, which does not show improvement but rather confirms the severity of the client's condition. While treatment may address the effects of the infarction, the diagnosis itself indicates ongoing concern.
Respiratory rate: The respiratory rate remained at 22/min, which is still elevated. While it is unchanged, an improvement would typically be reflected by a decrease in the respiratory rate, indicating better respiratory status. The persistent elevated rate suggests that further monitoring and interventions may still be needed.

A. Vitamin B12 level B. Orthostatic hypotension C. Ferritin level D. Fatigue

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A,B,C"}}

Explanation

Sickle Cell Disease:
• Fatigue

Iron Deficiency Anemia:
• Ferritin level
• Fatigue
• Orthostatic hypotension

Pernicious Anemia:
• Vitamin B12 level
• Fatigue

Rationale:

• Vitamin B12 level: A decreased vitamin B12 level is characteristic of pernicious anemia, which results from impaired absorption of vitamin B12 due to intrinsic factor deficiency.

• Orthostatic hypotension: A drop in blood pressure upon standing is commonly seen in iron deficiency anemia due to reduced oxygen-carrying capacity and inadequate perfusion.

• Ferritin level: A low ferritin level indicates depleted iron stores, which is a hallmark of iron deficiency anemia.

• Fatigue: Fatigue is a common symptom in all three conditions due to reduced oxygen delivery to tissues. In sickle cell disease, fatigue results from chronic hemolysis and vaso-occlusive episodes. In iron deficiency anemia, it is caused by insufficient hemoglobin production. In pernicious anemia, fatigue results from ineffective erythropoiesis due to vitamin B12 deficiency.

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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

The nurse is reviewing the client's medical record. The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

Correct Answer is ["A","D","E","G"]

Explanation

A nurse in a provider's office is caring for a client. For each client's finding, click to specify if the assessment finding is consistent with sickle cell disease, iron deficiency anemia, and/or pernicious anemia. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A,B,C"}}

Explanation

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?

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