The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

Rhonchi

weight gain

Hemoptysis

Frothy sputum

Answer and Explanation

The Correct Answer is C

A.   Rhonchi are abnormal lung sounds that result from obstruction or secretions in larger airways. They are more commonly associated with conditions like chronic bronchitis or COPD rather than tuberculosis. While TB can lead to various lung sounds, rhonchi are not a hallmark of the disease.
B.   Weight gain is generally not associated with tuberculosis. In fact, TB often leads to weight loss due to factors like loss of appetite, increased metabolic demand, and systemic effects of the infection. Patients with active TB frequently present with cachexia (wasting) or weight loss, not weight gain.
C.   Hemoptysis, or coughing up blood, is a significant and classic symptom associated with tuberculosis, especially in cases involving pulmonary TB. It occurs due to the erosion of blood vessels in the lungs as the disease progresses. This makes it a strong correlating finding with a diagnosis of tuberculosis.
D.   Frothy sputum is more characteristic of pulmonary edema or conditions such as congestive heart failure. In tuberculosis, sputum may be mucoid or purulent and sometimes contains blood, but it is not typically described as frothy.

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Correct Answer is C

Explanation

A. Mouth breathing is common after a tonsillectomy due to postoperative swelling and discomfort. It is not specifically a sign of hemorrhage. Instead, it is a typical adjustment as the child copes with throat pain and may find it easier to breathe through the mouth.
B. While reports of pain are expected after a tonsillectomy due to the nature of the surgery, they are not indicative of hemorrhage. Pain management is an important part of postoperative care, but increased pain alone does not signal bleeding.
C. Frequent swallowing can be a significant manifestation of hemorrhage following a tonsillectomy. This behavior may indicate that the child is trying to clear blood or secretions from the throat, or it may suggest that the child is swallowing blood that is pooling in the throat. It is an important sign for the nurse to monitor, as it can indicate active bleeding.
D. Reports of thirst are common after surgery due to fasting before the procedure and the dry mouth that can result from mouth breathing or the surgical site itself. While excessive thirst should be addressed, it is not a direct indicator of hemorrhage.

A. Yogurt B. Oranges C. Red meat D. Cashews

Correct Answer is C

Explanation

A. While yogurt is a nutritious food, it is not a significant source of iron.
B. Oranges are rich in vitamin C, which can help the body absorb iron from other foods. However, they are not a significant source of iron themselves.
C. Red meat, such as beef, lamb, and pork, is an excellent source of heme iron, which is easily absorbed by the body. This makes red meat a highly recommended food for people with iron deficiency.
D. Cashews are a good source of plant-based iron, but they also contain phytates, which can interfere with iron absorption. Therefore, while cashews can contribute to iron intake, they may not be as effective as red meat in addressing iron deficiency.

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The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding correlates with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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