As a nurse, you understand that when patients have latent TB:

They will be treated with medications for 2 years

They will always test negative on a Mantoux test

They can spread it to others until they have 3 negative sputum tests

They can't spread it to others

Answer and Explanation

The Correct Answer is D

A.   While patients with latent TB may be treated to prevent progression to active TB, the treatment duration is generally shorter—typically around 3 to 9 months, depending on the medication regimen (e.g., isoniazid for 9 months or rifampin for 4 months).
B.   Individuals with latent TB will usually test positive on a Mantoux test (also known as a tuberculin skin test), indicating they have been exposed to the TB bacteria. However, those with latent TB do not have active disease and may not have symptoms.
C.   Individuals with latent TB do not spread the bacteria to others because the infection is contained and does not cause active disease. Only those with active TB can transmit the bacteria, regardless of sputum test results.
D.   Patients with latent TB are not contagious and cannot spread the bacteria to others. The bacteria remain inactive in the body, and only a small percentage of these individuals may develop active TB in the future.

Nursing Test Bank

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Correct Answer is A

Explanation

A. Patients with this condition cannot absorb vitamin B12 from food due to a lack of intrinsic factor, which is essential for vitamin B12 absorption in the intestines. Therefore, vitamin B12 is administered via intramuscular (IM) injection to bypass the gastrointestinal absorption issue, ensuring that the patient receives the necessary amount of this vital nutrient.
B. While iron supplements may be necessary for other types of anemia (like iron deficiency anemia), they are not the primary treatment for Pernicious Anemia. This condition is specifically related to vitamin B12 deficiency rather than iron deficiency, so iron is not a standard treatment option in this scenario.
C. Packed red blood cell (PRBC) transfusions may be used in severe cases of anemia, particularly if the patient is symptomatic or has significant fatigue or cardiovascular instability. However, this is not a direct treatment for Pernicious Anemia itself and is not routinely used as the primary management strategy.
D. Normal saline (NS) intravenous infusion may be used for hydration or to maintain fluid balance, but it does not address the underlying cause of Pernicious Anemia. It is not a treatment for the deficiency of vitamin B12.

A. "You can experience low blood sugar" B. "You can experience morning stiffness when you get out of bed" C. "You can experience weight gain" D. "You will experience abdominal pain"

Correct Answer is B

Explanation

A. This statement is not typically related to rheumatoid arthritis. RA does not cause low blood sugar directly. While medications or other conditions might affect blood sugar levels, this is not a common symptom or concern specific to RA.
B. Morning stiffness is a hallmark symptom of rheumatoid arthritis. Patients often report increased stiffness and discomfort in their joints upon waking, which can improve with activity throughout the day.
C. While some individuals might gain weight due to reduced physical activity or medication side effects (like corticosteroids), weight loss is also common due to pain and decreased mobility. Thus, this statement is not universally applicable.
D. Abdominal pain is not a primary symptom of RA. However, certain medications used to treat RA, like nonsteroidal anti-inflammatory drugs (NSAIDs), can cause gastrointestinal discomfort, but this is not a direct result of the disease itself.

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As a nurse, you understand that when patients have latent TB:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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