Which assessment finding would the nurse expect in a client with latent tuberculosis?
A) A low-grade morning fever that subsides in the afternoon
B) Insidious onset of symptoms
C) An abrupt onset of symptoms
D) A high fever with night sweats
B) Insidious onset of symptoms
Explanation: A) The classic sympt oms of active tuberculosis can include cough, weight loss and anorexia, fever, night sweats, dull aching chest pain, and hemoptysis, but about 20% of individuals may be asymptomatic. In latent TB, the individual is asymptomatic at first, but TB is activated when host immune defenses are weakened. Symptom onset is generally insidious, with systemic symptoms of malaise, anorexia, fever, and weight loss. A low-grade fever appears in the late afternoon and then subsides, and night sweats occur. Increasing pulmonary involvement is indicated by increasing cough and sputum, and cavitation can result in hemoptysis.
B) The classic symptoms of active tuberculosis can include cough, weight loss and anorexia, fever, night sweats, dull aching chest pain, and hemoptysis, but about 20% of individuals may be asymptomatic. In latent TB, the individual is asymptomatic at first, but TB is activated when host immune defenses are weakened. Symptom onset is generally insidious, with systemic symptoms of malaise, anorexia, fever, and weight loss. A low-grade fever appears in the late afternoon and then subsides, and night sweats occur. Increasing pulmonary involvement is indicated by increasing cough and sputum, and cavitation can result in hemoptysis.
C) The classic symptoms of active tuberculosis can include cough, weight loss and anorexia, fever, night sweats, dull aching chest pain, and hemoptysis, but about 20% of individuals may be asymptomatic. In latent TB, the individual is asymptomatic at first, but TB is activated when host immune defenses are weakened. Symptom onset is generally insidious, with systemic symptoms of malaise, anorexia, fever, and weight loss. A low-grade fever appears in the late afternoon and then subsides, and night sweats occur. Increasing pulmonary involvement is indicated by increasing cough and sputum, and cavitation can result in hemoptysis.
D) The classic symptoms of active tuberculosis can include cough, weight loss and anorexia, fever, night sweats, dull aching chest pain, and hemoptysis, but about 20% of individuals may be asymptomatic. In latent TB, the individual is asymptomatic at first, but TB is activated when host immune defenses are weakened. Symptom onset is generally insidious, with systemic symptoms of malaise, anorexia, fever, and weight loss. A low-grade fever appears in the late afternoon and then subsides, and night sweats occur. Increasing pulmonary involvement is indicated by increasing cough and sputum, and cavitation can result in hemoptysis.
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