(Select all that apply): A nurse is caring for a patient with TB. Which adjunctive measures may be required for this patient's treatment? Select all that apply:
Surgery for extensive lung damage.
Corticosteroids for pericarditis.
Nutritional support for malnutrition.
Fluid therapy for dehydration.
Pain management for chest pain.
Correct Answer : B,C,D,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Providing emotional support and counseling is an important aspect of nursing care for TB patients. However, the primary goal of nursing interventions is to address the transmission of the disease and prevent its spread to others. TB is a highly contagious airborne disease, and healthcare professionals play a crucial role in implementing measures to reduce transmission.
Choice B rationale:
Monitoring the patient's weight and vital signs is essential for assessing the patient's response to treatment and overall health status. While these interventions are important, they are not the primary goal for TB patients. The main focus remains on preventing transmission and ensuring effective treatment.
Choice C rationale:
Preventing transmission of TB is the primary goal of nursing interventions. This involves implementing infection control measures, such as respiratory isolation, proper use of personal protective equipment, and education on cough etiquette for patients. By preventing the spread of TB, healthcare professionals contribute to public health efforts to control the disease.
Choice D rationale:
Administering antibiotic therapy is a critical aspect of TB treatment. However, it is not the primary goal of nursing interventions. Nursing interventions primarily focus on the prevention of transmission and supporting patients through their treatment journey.
Correct Answer is A
Explanation
Choice A rationale:
Young adults between 20 to 30 years of age are at a higher risk of developing tuberculosis (TB) compared to other age groups. This age range often includes individuals who may be exposed to TB in various settings, such as college or university students, individuals in the workforce, and those who may engage in behaviors that increase the risk of TB transmission, such as socializing in crowded places.
Choice B rationale:
Children under the age of 5 are also considered a high-risk group for TB, especially in regions with a high prevalence of the disease. However, in many settings, young adults between 20 to 30 years of age have shown higher rates of TB infection and disease compared to young children.
Choice C rationale:
Elderly individuals over the age of 65 are generally considered at higher risk for developing severe complications from TB, but their risk of primary TB infection is lower compared to younger age groups, including young adults between 20 to 30 years of age.
Choice D rationale:
Pregnant women, like the elderly, are at higher risk of severe complications if they develop TB during pregnancy. However, the incidence of TB is generally lower in pregnant women compared to young adults between 20 to 30 years of age, who are more socially active and likely to encounter TB-exposed individuals.
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