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. 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.

A. "Taking multiple antibiotics ensures rapid symptom relief." B. "Combination therapy reduces the risk of drug resistance." C. "Each antibiotic targets a different type of TB bacteria." D. "Multiple antibiotics are used to minimize side effects."

Correct Answer is B

Explanation

A) Incorrect. While multiple antibiotics may lead to symptom relief, the primary goal is to prevent drug resistance.

B) Correct. Combination therapy with multiple antibiotics is used to reduce the risk of drug-resistant TB, as it makes it more difficult for the bacteria to develop resistance to all drugs simultaneously.

C) Incorrect. Multiple antibiotics are used to target different aspects of TB treatment, not different types of TB bacteria.

D) Incorrect. While using multiple antibiotics can help manage side effects, the primary reason is to prevent drug resistance.

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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 nurse is educating a client about the diagnostic evaluation for tuberculosis (TB). Which test is commonly used to screen for TB infection and is administered by injecting a small amount of purified protein derivative (PPD) under the skin?

Correct Answer is C

Explanation

A client with active tuberculosis (TB) disease asks the nurse why they need to take multiple antibiotics for treatment. What is the nurse's best response?

Correct Answer is B

Explanation

A nurse is explaining the pathophysiology of tuberculosis (TB) to a group of nursing students. Which statement accurately describes the role of granulomas in TB infection?

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 client with latent tuberculosis infection (LTBI) asks the nurse about the likelihood of developing active TB disease. What information should the nurse provide?

A nurse is teaching a client with tuberculosis (TB) about respiratory hygiene practices to prevent the spread of the disease. Which instruction should the nurse include?

A client with active tuberculosis (TB) is prescribed a multidrug regimen. What should the nurse emphasize to the client about the importance of taking multiple medications?

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?

A client with active tuberculosis (TB) disease is prescribed a multidrug regimen. What is the primary purpose of using multiple drugs to treat TB?

A client is undergoing diagnostic testing for tuberculosis (TB) and asks the nurse about the purpose of a chest computed tomography (CT) scan. What is the nurse's best response?