A nurse is discussing the diagnostic evaluation of tuberculosis (TB) with a client. The client asks about the purpose of a chest X-ray in TB diagnosis. What is the nurse's best explanation?

"Chest X-rays are used to confirm the presence of TB bacteria in the lungs."

"Chest X-rays help assess the severity of TB symptoms and guide treatment decisions."

"Chest X-rays are primarily used to detect TB infection in the blood."

"Chest X-rays are not routinely used in TB diagnosis."

Answer and Explanation

The Correct Answer is B

A) Incorrect. Chest X-rays do not confirm the presence of TB bacteria but can indicate lung abnormalities associated with TB disease.

B) Correct. Chest X-rays are valuable in assessing the extent of lung involvement, the presence of cavities, and other abnormalities related to TB. This information helps guide treatment decisions.

C) Incorrect. Chest X-rays are not primarily used to detect TB infection in the blood; they focus on lung and chest abnormalities.

D) Incorrect. Chest X-rays are routinely used in the diagnosis and management of TB, especially for assessing lung involvement.

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Correct Answer is C

Explanation

A) Incorrect. LTBI can progress to active TB disease if the immune system weakens or is compromised.

B) Incorrect. The risk of progression from LTBI to active TB is higher in individuals with weakened immune systems, not those with strong immune systems.

C) Correct. LTBI can remain dormant for years, and the risk of progression to active TB disease is higher when the immune system becomes compromised.

D) Incorrect. LTBI and active TB disease are distinct conditions, and LTBI does not always require immediate treatment. Treatment may be recommended for individuals at higher risk of progression to active disease.

A. The client has active pulmonary TB. B. The client is experiencing an allergic reaction. C. The client may have extrapulmonary TB. D. The client has a secondary bacterial infection.

Correct Answer is C

Explanation

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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A nurse is discussing the diagnostic evaluation of tuberculosis (TB) with a client. The client asks about the purpose of a chest X-ray in TB diagnosis. What is the nurse's best explanation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse about the role of latent tuberculosis infection (LTBI) in the development of active TB disease. What information should the nurse provide?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

A nurse is providing education to a client with tuberculosis (TB) about the importance of adhering to the prescribed medication regimen. Which statement by the client indicates a correct understanding of medication adherence?

A client asks a nurse about the differences between latent TB infection (LTBI) and active TB disease. Which statement by the nurse is correct?

A client with tuberculosis (TB) asks the nurse about the importance of regular follow-up appointments during treatment. What should the nurse emphasize regarding follow-up care?

A nurse is educating a client about tuberculosis (TB). Which statement made by the client indicates a correct understanding of how TB is primarily transmitted?

A nurse is providing discharge instructions to a client with active tuberculosis (TB) who will continue treatment at home. The client asks about the need for isolation. What should the nurse advise?

A client with suspected tuberculosis (TB) reports experiencing pleuritic chest pain. What does this symptom suggest to the nurse?

A nurse is caring for a client with active TB disease. Which precaution should the nurse take to prevent the transmission of TB to others?

A nurse is explaining the process of collecting sputum samples for tuberculosis (TB) testing to a client. Which instruction should the nurse provide to ensure an accurate sample?