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NUR 211 ( LATEST 2024 / 2025 ) TEST 2 | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 211 ( LATEST 2024 / 2025 ) TEST 2 | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 211 Test 21. Pathophysiology of TB
Answer
Infectious disease caused by Mycobacterium Tuberculosis which normally involves the lungsbut
any organ can be infected.
Once inhaled, the particles will lodge into the bronchioles and alveoli. It is aerophilic
-Oxygen loving!
Starts as a latent infection and can later turn into active TB.
Symptoms
Cough lasting more than 3 weeks, chest pain, hemoptysis, fatigue, night sweats, weight loss,
chills, fever
2. TB Procedures
Answer
PPD Test
-Positive in all people regardless if >15 mm induration
-Inject intradermally in forearm
-Assess for induration in 48-72 hours Interferon gamma release assays blood test
-Results in a few hours Chest X-ray
-Abnormal
Sputum is the gold standard for diagnosis of TB
-3 consecutive sputum cultures 8-24 hour intervals, in the morning is best time
3. TB Isoniazid
Answer
Decreased B6 levels- anemia, glossitis, rashes, mental status changes
Neurotoxicity- headache, confusion, limb weakness and numbness
Nurse Considerations
Monitor for peripheral neuropathy, tired, irritable, depressed
,4. TB Rifampin
Answer
Bodily fluids orange- sweat, tears, urine, Photosensitivity Liver problems- jaundice will appear
in eyes first
Nurse Considerations
Educate on orange body fluids, Photosensitivity- sunscreen, stay indoors & away from
windows, covering clothing, Assess for jaundice
5. TB Streptomycin
Answer
Watch out for tinnitus, ototoxicity, neurotoxicity, and nephrotoxicity
Still used for TB but is not the first line of therapy anymore
Used to treat pts who cannot undergo the first line standard therapy due to drug-resistant
Mycobacterium tuberculosis
Given to patients that cannot take some of the first line meds due to being pregnant or
breastfeeding, take in place of whichever drug they cannot take
6. TB Patient Education
Answer
Advise patient that they're no longer contagious after 2-3 weeks of starting therapy
Smoking cessation if patient smokes
Cover nose and mouth with tissue when producing sputum, wear surgical mask when outside of
negative pressure room, use proper hand hygiene
After 2-3wks of treatment a sputum culture is needed every 2-4wks with a neg. result
Restrictvisitors, stay in separate rooms from other family members and home should
be well-ventilated
Be sure medication therapy is completed and taken as directed.
Medication is taking for up to 12months.
Teach side effects of medications.
7. TB Transmission/PPE/Protection
Answer
Airborne Precautions- N-95, gloves, gown, put patient in negative pressure isolation room and
cluster care
, Hand hygiene and cover mouth and nose when cough/sneeze Tested for TB 6 months after
exposure to a positive
8. Which clinical manifestations is associated with a diagnosis of tuberculo- sis?
Answer
Anorexia, Hemoptysis, Night Sweats
9. Which clinical manifestations is associated with TB?
Answer
Fatigue, Nausea, Low-grade Fever
10. The nurse obtains a laboratory report that shows acid-fast rods in a clients sputum. Which
disorder would the nurse consider may be related to these results?
Answer
Mycobacterium Tuberculosis
11. A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis.
Which type of room would the nurse assign this client?
Answer
Negative airflow room
12. A client is to undergo a tuberculin test as part of her prenatal workup. Before
administering the test, which information about the client would the nurse obtain?
Answer
Whether the result of an earlier tuberculin test was positive
13. After a client at an outpatient clinic has been diagnosed with active tu- berculosis, which
action by the nurse is best?
Answer
Notify the local public health department of the new diagnosis
14. Which action would the nurse take first after learning that sputum cultures for a client with a
chronic cough were positive for TB?
Answer
Place the client on airborne precautions
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