The nurse recognizes which of the following tests will confirm the diagnosis of tuberculosis for a client?

Sputum culture of Mycobacterium tuberculosis

Tuberculin (PPD) skin test

Acid-fast bacillus smear

Chest X-ray

Answer and Explanation

The Correct Answer is A

Choice A reason:

A sputum culture of Mycobacterium tuberculosis is the definitive test for diagnosing tuberculosis (TB). This test involves collecting a sputum sample and culturing it to detect the presence of Mycobacterium tuberculosis, the bacteria that cause TB. It is considered the gold standard for confirming active TB infection.

Choice B reason:

The Tuberculin (PPD) skin test, also known as the Mantoux test, is used to screen for TB infection. It can indicate whether a person has been exposed to TB bacteria, but it cannot confirm active TB disease. A positive result requires further testing, such as a sputum culture, to confirm the diagnosis.

Choice C reason:

An acid-fast bacillus (AFB) smear is a quick test that can detect the presence of mycobacteria in a sputum sample. While it can provide a preliminary indication of TB, it is not definitive. A positive AFB smear must be followed by a sputum culture to confirm the diagnosis.

Choice D reason:

A chest X-ray can show abnormalities in the lungs that are suggestive of TB, such as cavities or infiltrates. However, it cannot confirm the diagnosis on its own. Chest X-rays are used in conjunction with other tests, such as sputum culture and AFB smear, to diagnose TB.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Albuterol is a bronchodilator that helps to open up the airways, making it easier to breathe. It is commonly used in the treatment of acute bronchitis, especially if the patient is experiencing wheezing or shortness of breath. Albuterol works by relaxing the muscles around the airways, which helps to relieve symptoms of bronchospasm.

Choice B reason: Guaifenesin is an expectorant that helps to thin and loosen mucus in the airways, making it easier to cough up and clear out. This can be particularly helpful for a patient with a productive cough and green sputum, as it aids in clearing the respiratory passages. Guaifenesin is often used in the management of acute bronchitis to help alleviate symptoms.

Choice C reason: Methylprednisolone is a corticosteroid that helps to reduce inflammation in the airways. It can be beneficial in severe cases of acute bronchitis where there is significant inflammation and swelling of the bronchial tubes. Corticosteroids like methylprednisolone are used to decrease the inflammatory response and improve breathing.

Choice D reason: Dextromethorphan is a cough suppressant that works by affecting the signals in the brain that trigger the cough reflex. However, in the case of acute bronchitis with a productive cough, suppressing the cough can be counterproductive. The goal is to clear the mucus from the airways, and suppressing the cough can lead to mucus retention and potentially worsen the condition. Therefore, the use of a cough suppressant like dextromethorphan is not recommended in this scenario.

A. Exhale quickly and forcefully through the mouth. B. Inhale sharply with a “huff” sound. C. Inhale deeply through pursed lips. D. Exhale slowly through pursed lips.

Correct Answer is D

Explanation

Pursed-lip breathing is a technique used to help manage shortness of breath and improve ventilation. It involves breathing in through the nose and exhaling slowly through pursed lips, as if blowing out a candle. This method helps to keep the airways open longer, allowing more air to escape and reducing the work of breathing.

Choice A reason:

Exhale quickly and forcefully through the mouth is not the correct intervention for pursed-lip breathing. Exhaling quickly and forcefully can cause the airways to collapse, making it harder to breathe out all the air. This can lead to air trapping and increased shortness of breath, which is counterproductive for clients with respiratory issues.

Choice B reason:

Inhale sharply with a “huff” sound is also not correct for pursed-lip breathing. Huff coughing is a technique used to clear mucus from the airways, not to manage breathing patterns. Inhaling sharply can cause irritation and may not provide the controlled breathing needed for effective gas exchange.

Choice C reason:

Inhale deeply through pursed lips is incorrect. The correct technique for pursed-lip breathing involves inhaling through the nose, not through pursed lips. Inhaling through the nose helps to filter and humidify the air, making it easier on the lungs and airways.

Choice D reason:

Exhale slowly through pursed lips is the correct intervention. This technique helps to prolong exhalation, which reduces the respiratory rate and improves ventilation. By keeping the airways open longer, it helps to release trapped air and improve oxygenation. This method is particularly beneficial for clients with chronic obstructive pulmonary disease (COPD) and asthma, as it helps to reduce the work of breathing and improve overall respiratory function.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse recognizes which of the following tests will confirm the diagnosis of tuberculosis for a client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?

Correct Answer is D

Explanation

The nurse is preparing to teach a client how to effectively perform pursed-lip breathing. The nurse would include which intervention in the teaching?

Correct Answer is D

Explanation

The nurse is caring for a client who has a core temperature of 97°F (36.1°C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)

The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

A client is admitted with hypovolemia due to severe bleeding. Which IV fluid does the nurse anticipate using to replace fluid losses?

The nurse is caring for a client recently diagnosed with emphysema. What information, regarding health maintenance, would the nurse include in teaching sessions? (SELECT ALL THAT APPLY)

A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?

An older adult client with chronic respiratory disease tells the nurse it is unnecessary to receive the pneumococcal pneumonia vaccine because the influenza vaccine was just received two months ago. Which response by the nurse is most appropriate?

The nurse must administer 1600 mL of total parenteral nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest tenth, do not use trailing zeros, use a leading zero if it applies)