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Nursing care and patient education

- Nursing care for patients with TB involves assessing their physical, psychological, social, and educational needs; planning and implementing interventions to meet those needs; and evaluating the outcomes of care.

- Some of the nursing interventions for patients with TB are:

  • Assessing the patient's history, symptoms, risk factors, diagnostic tests, drug regimen, adherence level, and response to treatment.
  • Monitoring the patient's vital signs, weight, oxygen saturation, chest x-ray findings, sputum smear or culture results, liver function tests, and other laboratory tests as indicated.
  • Administering anti-TB drugs as prescribed and observing for any adverse effects or drug interactions.
  • Providing nutritional support and advising the patient to eat a balanced diet that meets their caloric and nutritional needs.
  • Providing symptom relief and advising the patient to take analgesics, antipyretics, or anti-inflammatory drugs as needed.
  • Providing psychosocial support and referring the patient to counseling or mental health services as needed.
  • Educating the patient about TB infection control measures such as covering their mouth and nose when coughing or sneezing; disposing of tissues properly; washing their hands frequently; avoiding close contact with others until they are no longer infectious; wearing a mask in public places if advised by their health care provider; and notifying their contacts about their diagnosis and the need for screening.
  • Educating the patient about TB prevention measures such as completing their course of therapy; adhering to their medication regimen; reporting any adverse effects or signs of treatment failure; avoiding alcohol or tobacco use; getting adequate rest and exercise; avoiding exposure to other respiratory infections; getting vaccinated for influenza or pneumococcal disease if recommended by their health care provider; and undergoing regular follow-up visits and tests.
  • Evaluating the patient's progress toward achieving their goals of care such as curing the infection; preventing transmission; minimizing complications; improving quality of life; enhancing knowledge; increasing self-efficacy; reducing stigma; and increasing satisfaction.

Questions on Nursing care and patient education

Correct Answer is B

Explanation

Incorrect. TB is not primarily transmitted through contact with skin lesions. It primarily affects the lungs and is transmitted through the respiratory route.

Correct Answer is C

Explanation

Incorrect. Blurred vision and eye pain are not typical symptoms of TB, although TB can affect other parts of the body in addition to the lungs.

Correct Answer is A

Explanation

Incorrect. LTBI does not always progress to active TB disease. In fact, many individuals with LTBI do not develop active disease, but they are at risk, especially if their immune system becomes compromised.

Correct Answer is A

Explanation

Incorrect. Avoiding close contact with the client is not a practical measure for healthcare professionals providing care to TB patients. Proper isolation measures are more effective.

Correct Answer is A

Explanation

Incorrect. Although improving patient compliance is important, the primary purpose of using multiple drugs is to reduce drug resistance.QUESTIONS

Correct Answer is C

Explanation

Incorrect. While cleanliness and hygiene are important, excessive handwashing alone is not sufficient to prevent TB transmission, as the bacteria are primarily transmitted through the air.

Correct Answer is A

Explanation

Incorrect. TB bacteria in latent infection are in a dormant state and do not actively multiply, although they remain viable.

Correct Answer is A

Explanation

Incorrect. Although improving patient compliance is important, the primary purpose of using multiple drugs is to reduce drug resistance.

Correct Answer is C

Explanation

Incorrect. LTBI carries a risk of progressing to active TB disease, although the risk is relatively low in many individuals.

Correct Answer is A

Explanation

Incorrect. Granulomas are not the primary site of TB bacteria replication; instead, they are formed to limit bacterial replication and spread.

Correct Answer is C

Explanation

Incorrect. Underlying health conditions like HIV, diabetes, and immunosuppression can indeed increase the risk of TB due to compromised immune function.

Correct Answer is C

Explanation

Incorrect. LTBI and active TB disease are distinct conditions, and LTBI does not always require immediate treatment. Treatment may be recommended for individuals at higher risk of progression to active disease.

Correct Answer is B

Explanation

Incorrect. While using multiple antibiotics can help manage side effects, the primary reason is to prevent drug resistance.

Correct Answer is D

Explanation

Correct. Following good respiratory hygiene and avoiding crowded, poorly ventilated areas are essential measures to reduce the risk of TB transmission in high-burden areas.

Correct Answer is D

Explanation

Correct. Completing the recommended treatment course for LTBI is essential to reduce the risk of developing active TB disease.

Correct Answer is C

Explanation

Incorrect. Confusion and memory loss are not typical symptoms of pulmonary TB; they may occur in cases of disseminated or extrapulmonary TB.

Correct Answer is B

Explanation

Incorrect. Atypical pneumonia may have different symptoms, and it is not the most likely diagnosis based on the symptoms provided.

Correct Answer is D

Explanation

Correct. Coughing up blood (hemoptysis) is a possible symptom of TB and should be reported to a healthcare provider for further assessment and management.

Incorrect. Cervical lymphadenopathy is not necessarily indicative of a secondary bacterial infection.

Incorrect. While anxiety or panic attacks can cause chest discomfort, pleuritic chest pain is more likely related to a physical condition, such as pleural inflammation.

Incorrect. CT scans may be used in TB diagnosis but are not typically used for initial screening of TB infection.

Incorrect. Gram stain is a laboratory technique used to visualize the characteristics of bacterial cells but is not specific for Mycobacterium tuberculosis.

Incorrect. Chest X-rays are routinely used in the diagnosis and management of TB, especially for assessing lung involvement.

Incorrect. Sputum samples should be collected in specific containers designed for this purpose to maintain sample integrity and avoid contamination.

Incorrect. CT scans are commonly used in the evaluation and management of TB, especially for assessing lung abnormalities.

Incorrect. Medications for TB should not be shared with family members or others, as they need individualized treatment and evaluation.

Correct. Using multiple medications in combination therapy makes it more difficult for TB bacteria to develop resistance to all drugs simultaneously, helping to prevent drug-resistant TB.

Incorrect. Waiting until the next appointment may lead to prolonged side effects and potential treatment complications.

Incorrect. TB treatment should be completed as prescribed, regardless of the absence of symptoms, to prevent drug resistance and relapse.

Incorrect. TB can be transmitted in close household settings, so infection control measures are important to prevent transmission to family members.

Incorrect. TB medications should be taken as prescribed, not solely based on symptom severity.

Incorrect. Isolation is not typically needed during TB treatment, as clients can resume their normal activities once their infectiousness has decreased.

Incorrect. Ventilating living spaces by keeping windows and doors open, not closed, helps reduce the concentration of infectious particles in the air.

Incorrect. While treatment duration can vary based on individual factors, the minimum duration is typically six months for active TB.

Incorrect. Follow-up appointments are typically not optional; they are a standard part of TB care to ensure successful treatment and minimize the risk of relapse.
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