A nurse is providing education to a group of individuals who will receive the BCG vaccine. Which statement indicates the need for further teaching?
"The BCG vaccine can prevent severe forms of TB.”
"The BCG vaccine can prevent pulmonary TB.”
"The BCG vaccine may cause false-positive TST reactions.”
"The BCG vaccine is administered intramuscularly.”
The Correct Answer is C
Choice A rationale:
Choice C indicates the need for further teaching because it contains inaccurate information. The BCG vaccine, which is used to prevent severe forms of tuberculosis in high-risk populations, can cause false-positive reactions to the Tuberculin Skin Test (TST) The TST is a common test used to detect exposure to TB, but it cannot differentiate between a previous BCG vaccination and an actual TB infection. The presence of a BCG scar or previous vaccination can lead to a positive TST without an active TB infection. Choices A and B are correct statements. The BCG vaccine does provide some protection against severe forms of TB and pulmonary TB. Choice D is also accurate; the BCG vaccine is administered intramuscularly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
MDR-TB stands for multidrug-resistant tuberculosis, and it is resistant to at least two of the most potent first-line anti-TB drugs, isoniazid (INH), and rifampicin (RIF) This resistance makes the treatment of MDR-TB more challenging and requires the use of second-line drugs.
Choice B rationale:
XDR-TB stands for extensively drug-resistant tuberculosis, and it is resistant to all first-line anti-TB drugs (INH and RIF) and at least one of the second-line injectable drugs (e.g., amikacin, kanamycin, or capreomycin) XDR-TB is even more challenging to treat than MDR-TB and requires the use of third-line drugs.
Choice C rationale:
RR-TB refers to rifampicin-resistant tuberculosis. It is resistant to rifampicin alone or in combination with other drugs but still susceptible to isoniazid. Rifampicin resistance is a critical indicator for diagnosing MDR-TB.
Choice D rationale:
This statement is incorrect. Drug-resistant TB is not more common in infants and children. It can affect individuals of any age, especially those who have received inadequate or inappropriate treatment for TB, leading to the development of drug resistance.
Choice E rationale:
This statement is correct. Drug-resistant TB requires more prolonged treatment compared to drug-sensitive TB. Treatment for drug-resistant TB can take months to years and often involves a combination of second and third-line drugs, which may have more side effects and require careful monitoring.
Hepatitis.
.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Surgery for extensive lung damage may be considered in very rare cases of complications from TB, but it is not an adjunctive measure commonly required for TB treatment. The primary treatment for TB involves antibiotic therapy and adjunctive measures to manage complications.
Choice B rationale:
Corticosteroids may be required as adjunctive therapy for pericarditis, a complication of TB that affects the lining around the heart. Corticosteroids help reduce inflammation and improve the patient's condition.
Choice C rationale:
Nutritional support is often necessary for patients with TB, as the disease can lead to malnutrition and weight loss. Adequate nutrition is crucial for supporting the immune system and facilitating recovery.
Choice D rationale:
Fluid therapy may be required for patients with TB who experience dehydration due to fever, night sweats, and reduced oral intake. Proper hydration helps maintain organ function and aids in the elimination of waste products.
Choice E rationale:
Pain management is essential for patients with TB, especially for those experiencing chest pain, which can be a symptom of the disease or a complication. Adequate pain control improves the patient's comfort and compliance with treatment.
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