Which test would the nurse expect the primary care provider to order to look for exposure to tuberculosis?

Antistreptolysin-O (ASO) titer.

Purified protein derivative test.

Chest X-ray.

C-reactive protein.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is ["A","B","D","E","F"]

Explanation

A. Fatigue is a common symptom of TB, especially in the early stages. The body's energy is used up fighting the infection, leading to feelings of tiredness.
B. Night sweats are another common symptom of TB. The body's immune system works harder at night, leading to excessive sweating.
C. While neuropathy can be a potential complication of TB, it's not a typical clinical manifestation in the early stages. Neuropathy is more likely to occur in advanced cases or if the TB infection has spread to other parts of the body.
D. TB can cause weight loss due to decreased appetite, increased metabolic rate, and the body's use of energy to fight the infection.
E. A cough is a common symptom of TB. In the early stages, the cough may be dry or non-productive, meaning there's no phlegm or mucus.
F. A low-grade fever is another common symptom of TB. The body's temperature rises slightly as it fights the infection.

A. Bradypnea. B. Decreased respiratory rate C. Increased crackles D. Diminished breath sounds

Correct Answer is D

Explanation

A. Bradypnea, or a slow respiratory rate, is concerning but not typically associated with asthma exacerbations. In asthma, patients usually experience tachypnea (increased respiratory rate) as they try to compensate for difficulty breathing.
B. A decreased respiratory rate in an asthma patient can be alarming, but it may not necessarily indicate an immediate need for intervention unless it’s associated with other severe symptoms. In general, asthma patients often have an increased respiratory rate due to respiratory distress.
C. While crackles can indicate fluid in the lungs and may suggest an underlying issue, they are not the most immediate concern in a patient with asthma. Crackles can occur in various conditions, and they alone may not necessitate urgent intervention.
D. Diminished breath sounds are a critical finding in asthma patients. This may indicate severe airway obstruction or a lack of air movement due to severe bronchospasm. In the context of asthma, diminished breath sounds can signify that the patient is not able to move air effectively, which requires immediate intervention to prevent respiratory failure.

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Which test would the nurse expect the primary care provider to order to look for exposure to tuberculosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Correct Answer is ["A","B","D","E","F"]

Explanation

The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?

Correct Answer is D

Explanation

The physician orders a unit of packed red blood cells (PRBC) to infuse in 2 hours. The unit contains 250 mL. The blood tubing administration set has a drop factor of 10 gtt/mL. The flow rate for the infusion of packed red blood cell is gtt/min. (Round to the nearest drop)

A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of th following information should the nurse include in the teaching?

Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)