he nurse cares for a client admitted to rule out active tuberculosis. What manifestations best indicate that the client has active tuberculosis? Select all that apply.
1. Chronic, drenching night sweats
2. Frequent respiratory infections
3. Hypoxia and hypotension
4. Hemoptysis and chest pain
5. Loss of appetite and weight loss
1. Chronic, drenching night sweats
4. Hemoptysis and chest pain
5. Loss of appetite and weight loss
Explanation: 1. Weight loss and night sweats are non-specific symptoms of tuberculosis. However, drenching nightly sweating only occurs with a very few diseases, such as TB, non-Hodgkin's lymphoma, and AI.
2. Frequent lung infections or infections that appear chronic or treatment resistant often indicate lung cancer or other condition. This isn't related to TB.
3. Hypoxia and hypotension are associated with shock or pulmonary embolism for example. Only very advanced TB might result in these findings.
4. Bloody sputum with chest pain is clear and specific for tuberculosis. A few other conditions would cause these symptoms to occur together.
5. Loss of appetite and weight loss are non-specific symptoms of tuberculosis. Anorexia occurs in conditions ranging from depression to cancer.
You might also like to view...
The client diagnosed with migraine headaches asks the nurse why he sees flashing lights and his left side becomes numb or tingles. The nurse explains these symptoms are a/n:
1. Hallucination indicating possible mental illness. 2. Aura preceding the headache. 3. Transient ischemic attack (TIA). 4. Cranial nerve irritation.
A nurse is caring for a child who had a sudden onset of muscle weakness beginning in the legs and progressing in an ascending fashion, but who otherwise appears healthy. Which laboratory result would confirm the nurse's suspicion about the origin of this
A. Elevated CSF protein B. Increased liver enzymes C. Leukocytosis D. Low hemoglobin
Order for the PCA:
Dilaudid 6 mg/30 mL Maximum dose: 0.8 mg/hr PCA dose: 2 mL/dose Lockout: q15min The client received 12 mL in 4 hours. How many milligrams of Dilaudid did the client receive in 4 hours? _____ a. 20 b. 12 c. 2.4 d. 0.2
A patient, 6 months postoperative from the placement of an ileal conduit, has come to the clinic for routine follow-up. What long-term complications should this patient be assessed for?
A) Pyelonephrosis B) Renal deterioration due to acute reflux C) Widening of the stoma D) Ureteral obstruction