Which of the following symptoms is a common indication of active tuberculosis (TB) infection?
Acute abdominal pain
Sudden onset of high fever and chills
Severe headache and neck stiffness
Persistent cough lasting more than three weeks
The Correct Answer is D
Rationale:
A. Acute abdominal pain is not a typical manifestation of pulmonary TB; it may occur with extrapulmonary TB affecting the abdomen, but it is not common.
B. Sudden onset of high fever and chills is more characteristic of acute bacterial infections, not the gradual onset of TB.
C. Severe headache and neck stiffness suggest meningitis, which could occur with TB meningitis, but this is less common than pulmonary TB.
D. Persistent cough lasting more than three weeks is a classic symptom of active pulmonary TB, often accompanied by sputum production, hemoptysis, fatigue, and low-grade fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Nausea is not a typical early manifestation of hypoxemia; it may occur later due to hypoxia-related fatigue or medication effects but is not expected.
B. Dysphagia (difficulty swallowing) is not associated with hypoxemia during asthma; it is more related to structural or neurological issues.
C. Hypotension can occur in severe or late hypoxemia, but it is not an early or expected manifestation during an asthma attack.
D. Agitation is an early sign of hypoxemia because the brain is highly sensitive to decreased oxygen levels. Clients may become restless, anxious, or confused as oxygen levels drop.
Correct Answer is B
Explanation
Rationale:
A. Prednisone is a corticosteroid commonly used during asthma exacerbations to reduce airway inflammation.
B. Propranolol is a non-selective beta-blocker that can worsen asthma by causing bronchoconstriction. Prescribing this medication to a patient with asthma requires clarification.
C. Montelukast is a leukotriene receptor antagonist used for long-term asthma control and is appropriate.
D. Theophylline is a bronchodilator used in asthma management, particularly for chronic or severe cases, and is appropriate when prescribed carefully.
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