A nurse is caring for a client with suspected tuberculosis (TB) and observes that the client has developed cervical lymphadenopathy. What does this finding suggest?
The client has active pulmonary TB.
The client is experiencing an allergic reaction.
The client may have extrapulmonary TB.
The client has a secondary bacterial infection.
The Correct Answer is C
A) Incorrect. Cervical lymphadenopathy is not specific to active pulmonary TB and can occur in extrapulmonary TB as well.
B) Incorrect. Allergic reactions typically do not result in cervical lymphadenopathy.
C) Correct. Cervical lymphadenopathy is often associated with extrapulmonary TB, as TB can affect various parts of the body, including lymph nodes.
D) Incorrect. Cervical lymphadenopathy is not necessarily indicative of a secondary bacterial infection.
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Related Questions
Correct Answer is D
Explanation
A) Incorrect. Avoiding close contact alone may not be sufficient, as TB is primarily transmitted through the inhalation of respiratory droplets.
B) Incorrect. While wearing a surgical mask may offer some protection, it is not foolproof, especially in high-burden areas.
C) Incorrect. The BCG vaccine provides some protection against severe forms of TB in children but is not considered highly effective for preventing TB in adults.
D) Correct. Following good respiratory hygiene and avoiding crowded, poorly ventilated areas are essential measures to reduce the risk of TB transmission in high-burden areas.
Correct Answer is C
Explanation
A) Incorrect. Chest X-rays are often used to assess lung involvement in TB but are not a primary screening test for TB infection.
B) Incorrect. Sputum culture is used to confirm the presence of TB bacteria in individuals with suspected active TB disease.
C) Correct. The Mantoux TST is a common screening test for TB infection. A small amount of PPD is injected under the skin, and the reaction is assessed after 48-72 hours.
D) Incorrect. CT scans may be used in TB diagnosis but are not typically used for initial screening of TB infection.
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