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. While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B. Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C. This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D. Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.

A. Patient color B. Lung sounds C. Heart tones D. Bowel sounds E. Peripheral pulses F. Respiratory rate and effort G. Pulse oximetry reading H. Peak expiratory flow

Correct Answer is ["A","B","C","F","G","H"]

Explanation

A. The patient's color can indicate their oxygenation status. Cyanosis (bluish tint) may suggest hypoxia, which is critical to assess in an asthma patient.
B. Auscultation of lung sounds is essential in asthma assessment. The presence of wheezing, prolonged expiration, or decreased breath sounds can indicate airway obstruction and the severity of the asthma exacerbation.
C. Assessing heart tones can provide information about the cardiovascular response to respiratory distress. Increased heart rate may occur due to hypoxia or anxiety associated with asthma attacks.
D. Bowel sounds are not relevant in the assessment of asthma. While gastrointestinal symptoms may co- occur in some patients, they are not directly related to asthma's respiratory condition.
E. While peripheral pulses are important in general assessments, they do not provide specific information relevant to asthma management or respiratory status.
F. Monitoring respiratory rate and effort is crucial in assessing asthma. Increased respiratory rate and use of accessory muscles may indicate respiratory distress or an asthma exacerbation.
G. A pulse oximetry reading provides an objective measure of oxygen saturation. Low oxygen saturation levels indicate inadequate oxygenation, which is critical to monitor in asthma patients.
H. Measuring peak expiratory flow rate (PEFR) helps assess the severity of airway obstruction and monitor asthma control. It can guide treatment decisions and determine if an asthma attack is occurring.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is ["A","B","C","F","G","H"]

Explanation

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