A nurse is working in a walk-in clinic. She has been alerted that there's an outbreak of tuberculosis (TB). Which client entering the clinic today is most likely to have TB?
A 16-year old female high school student
A 54 year old businessman
A 54 year old businessman
A 43-year old homeless man with a history of alcoholism
The Correct Answer is D
A. A 16-year-old female high school student: While TB can affect people of any age, high school students are generally not considered a high-risk group unless they have known exposure or immunosuppression. Routine exposure in school settings is relatively low.
B. A 54-year-old businessman: This client may be at risk depending on travel history or comorbidities, but business professionals typically have better access to healthcare and housing, reducing their baseline risk compared to other populations.
C. A 54-year-old businessman: Unless other risk factors are specified (e.g., foreign travel, immunocompromise), this demographic does not represent a high-risk group for TB in an outbreak situation.
D. A 43-year-old homeless man with a history of alcoholism: This client falls into a high-risk category for TB due to poor living conditions, potential malnutrition, and compromised immunity related to alcoholism. Homelessness and substance use are well-established risk factors for tuberculosis, especially during outbreaks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Barrel chest and polycythemia: These findings are more characteristic of chronic obstructive pulmonary disease, especially emphysema. They reflect long-term adaptations to hypoxia and air trapping, not the acute onset seen in pneumothorax.
B. Bronchovesicular lung sounds and bradypnea: Bronchovesicular sounds are normal in some lung areas, and bradypnea is not a common feature of pneumothorax. Pneumothorax often presents with decreased or absent breath sounds on the affected side and increased respiratory rate due to hypoxia.
C. Unequal lung expansion and dyspnea: Unequal chest expansion occurs because the collapsed lung on the affected side does not inflate properly. Dyspnea results from impaired gas exchange, making this the most accurate sign combination of pneumothorax.
D. Frothy bloody sputum and consolidation: These findings suggest pulmonary edema or pneumonia rather than pneumothorax. Frothy sputum is often seen in left-sided heart failure, and lung consolidation is not a feature of air in the pleural space.
Correct Answer is ["39.0"]
Explanation
Calculation:
To convert Fahrenheit to Celsius, use the formula:
C = (F−32) ×5/9
Given Fahrenheit temperature (F) = 102.2°F
- Subtract 32 from the Fahrenheit temperature.
102.2−32=70.2
- Multiply the result by 5/9
70.2× 5/9
=39
The temperature in Celsius is 39.0°C.
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