A nurse is assessing a patient who reports persistent cough, night sweats, weight loss, and fatigue. The nurse suspects tuberculosis (TB). Which additional symptom would further support this diagnosis?

Nausea and vomiting after eating fatty foods

Sudden high fever and chills with a rash

Wheezing and shortness of breath that improves with bronchodilators

Productive cough with blood (hemoptysis)

Answer and Explanation

The Correct Answer is D

A. Nausea and vomiting after eating fatty foods: This symptom is more commonly associated with gallbladder disease (e.g., cholecystitis) rather than TB.

B. Sudden high fever and chills with a rash: TB typically causes a low-grade fever, night sweats, and progressive weight loss rather than sudden high fevers with a rash, which are more indicative of systemic infections like meningococcemia or viral exanthems.

C. Wheezing and shortness of breath that improves with bronchodilators: While TB can cause respiratory symptoms, it does not typically present with reversible airway constriction like asthma or chronic obstructive pulmonary disease (COPD), which respond to bronchodilators.

D. Productive cough with blood (hemoptysis): Hemoptysis (coughing up blood) is a hallmark symptom of active TB, resulting from lung tissue damage caused by the Mycobacterium tuberculosis infection.

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Correct Answer is D

Explanation

A. Moderate level of pain: Pain is expected after a fracture and casting. However, if pain is severe and unrelieved by medication, it may indicate compartment syndrome, which is an emergency. Moderate pain alone does not require immediate provider notification.

B. Dependent edema distal to the cast: Some swelling is expected due to reduced mobility and gravity-dependent positioning. Elevating the leg can help reduce swelling, but it does not require immediate provider notification.

C. Itching of the distal foot: Itching is a common, non-emergency side effect of casting. Clients should be advised not to insert objects inside the cast to relieve itching.

D. Inability to flex the toes of the casted foot: Inability to flex the toes suggests potential neurovascular compromise or compartment syndrome, a medical emergency requiring immediate intervention to prevent permanent nerve or muscle damage. The provider must be notified immediately.

A. Poor personal hygiene B. A family history of autoimmune disorders C. Chronic sun exposure D. A recent course of antibiotics

Correct Answer is D

Explanation

A. Poor personal hygiene. SJS is not caused by poor hygiene. It is a severe hypersensitivity reaction, most often triggered by medications or infections.

B. A family history of autoimmune disorders. While some autoimmune conditions may predispose individuals to skin disorders, SJS is primarily a reaction to medications or infections rather than an inherited autoimmune condition.

C. Chronic sun exposure. Chronic sun exposure is associated with conditions like actinic keratosis and skin cancers, not SJS.

D. A recent course of antibiotics. Medications, especially antibiotics (e.g., sulfonamides), anticonvulsants, and NSAIDs, are the most common triggers of SJS. This severe reaction results in widespread skin detachment and mucosal involvement.

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A nurse is assessing a patient who reports persistent cough, night sweats, weight loss, and fatigue. The nurse suspects tuberculosis (TB). Which additional symptom would further support this diagnosis?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is D

Explanation

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