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 B

Explanation

A. This meal includes a hamburger, which is typically high in saturated fat and sodium, especially if it's made from fatty cuts of meat and includes processed cheese or condiments. Steak fries are often high in fat and sodium due to being fried. While the orange is a healthy fruit, the rest of the meal does not align with the DASH diet principles.
B. This meal is a good example of the DASH diet. The turkey provides lean protein, whole wheat bread offers whole grains, and the green beans are a vegetable. The banana adds a serving of fruit. This combination emphasizes a variety of food groups that are encouraged in the DASH diet, making it a balanced and heart-healthy option.
C. Pork sausage is typically high in saturated fat and sodium, which is not aligned with the DASH diet's recommendations to limit these components. Baked beans can be a good source of fiber but may also contain added sugars and sodium depending on how they are prepared. Overall, this meal does not fit well within the DASH diet framework.
D. While enriched cereal can provide essential vitamins and minerals, it may also be high in added sugars, which is discouraged on the DASH diet. Whole milk is higher in saturated fat compared to low-fat or non- fat dairy options recommended by the DASH diet. Therefore, this meal does not fully meet DASH guidelines.

A. Antistreptolysin-O (ASO) titer. B. Purified protein derivative test. C. Chest X-ray. D. C-reactive protein.

Correct Answer is B

Explanation

A. The ASO titer is a blood test used to detect streptococcal infections, particularly post-streptococcal sequelae like rheumatic fever or glomerulonephritis. It is not related to tuberculosis.
B. The Purified Protein Derivative (PPD) test, also known as the tuberculin skin test (TST), is specifically used to identify exposure to the tuberculosis bacteria. If a person has been exposed, the immune system will react to the PPD injection, causing a localized skin reaction that can be measured after 48-72 hours.
C. While a chest X-ray is an important tool for diagnosing active tuberculosis or assessing lung involvement, it is not the initial test for determining exposure to TB. It is usually ordered after a positive PPD test or when there are clinical symptoms of TB.
D. C-reactive protein (CRP) is a nonspecific marker of inflammation and infection in the body. It does not specifically indicate exposure to tuberculosis and is not used for TB testing.

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

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