ch 28 iggy med surg 1
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ch 28 iggy med surg 1

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What is the primary focus of the nurse's education for a client with tuberculosis (TB)?

  • Educating the client on adherence to the treatment regimen (correct)
  • Informing the client about follow-up sputum cultures
  • Teaching the client ways to balance rest with activity
  • Encouraging the client to eat a well-balanced diet
  • A client has been admitted for suspected inhalation anthrax infection. Which question by the nurse is most important?

  • Have you traveled recently?
  • How long have you been ill?
  • What is your occupation? (correct)
  • Are any family members also ill?
  • Which of the following is the most appropriate action for the nurse to take when educating a client with tuberculosis (TB)?

  • Provide information on the potential side effects of the TB medications and how to manage them
  • Suggest the client maintain a strict vegetarian diet to support their immune system
  • Emphasize the importance of completing the full course of antibiotics, even if the client feels better (correct)
  • Recommend the client take frequent breaks and limit physical activity during treatment
  • A client with suspected inhalation anthrax has been admitted to the hospital. Which of the following actions should the nurse take first?

    <p>Notify the appropriate authorities about the potential bioterrorism event</p> Signup and view all the answers

    When educating a client with tuberculosis (TB), which of the following topics should the nurse prioritize?

    <p>Stressing the necessity of adhering to the full course of prescribed therapy</p> Signup and view all the answers

    A client is suspected of having inhalation anthrax. Which of the following is the most important question the nurse should ask the client?

    <p>What is your current occupation and work environment?</p> Signup and view all the answers

    When educating a client with tuberculosis (TB), which of the following should the nurse emphasize as the top priority?

    <p>Stressing the need to adhere to the full course of prescribed antibiotic therapy</p> Signup and view all the answers

    A client has been admitted with suspected inhalation anthrax. Which of the following actions should the nurse take first?

    <p>Notify the appropriate authorities about the potential bioterrorism event</p> Signup and view all the answers

    What is the best response by the nurse when questioned about the necessity of a chest x-ray?

    <p>Older people often have vague symptoms, so an x-ray is essential.</p> Signup and view all the answers

    Why is obtaining an early chest x-ray important in older adults suspected of having pneumonia?

    <p>To avoid a delay in treatment due to vague symptoms.</p> Signup and view all the answers

    What does the nurse's response suggest when stating 'Chest x-rays are always ordered when we suspect pneumonia'?

    <p>It is a routine regardless of the specific situation.</p> Signup and view all the answers

    Why does the nurse's response mention that 'The x-ray can be done and read before laboratory work is reported'?

    <p>To indicate a delay in waiting for lab results before taking action.</p> Signup and view all the answers

    What does the staff prioritize when stating 'We are testing for any possible source of infection in the client'?

    <p>Testing for any suspected disorder.</p> Signup and view all the answers

    When is it crucial to obtain a chest x-ray in older adults suspected of having pneumonia?

    <p>Before definitive manifestations are present, due to vague symptoms.</p> Signup and view all the answers

    Which statement explains why a chest x-ray is essential for older adults with vague symptoms?

    <p>To prevent unnecessary delays in appropriate treatment.</p> Signup and view all the answers

    What is the primary purpose of the nurse's role in addressing the spouse's fear of visiting the client with tuberculosis?

    <p>To decrease the spouse's stress and enable visitation, which will benefit both the client and the spouse.</p> Signup and view all the answers

    What is the primary reason the nurse should not tell the spouse that it's safe to visit the client with tuberculosis?

    <p>It would be demeaning to the spouse's feelings.</p> Signup and view all the answers

    What is the primary reason the nurse should not inform the spouse that the precautions are meant to keep other clients safe?

    <p>It would not address the spouse's specific fears about visitation.</p> Signup and view all the answers

    What is the primary reason the nurse should not recommend occupational therapy for job retraining as the most appropriate referral for a client being discharged on long-term therapy for tuberculosis?

    <p>Job retraining is not a common need for clients with tuberculosis.</p> Signup and view all the answers

    What is the primary reason the nurse should not recommend physical therapy for homebound therapy services as the most appropriate referral for a client being discharged on long-term therapy for tuberculosis?

    <p>The client should be referred to visiting nurses for directly observed therapy.</p> Signup and view all the answers

    What is the primary reason the nurse should not recommend a community social worker for Meals on Wheels as the most appropriate referral for a client being discharged on long-term therapy for tuberculosis?

    <p>The client should be referred to visiting nurses for directly observed therapy.</p> Signup and view all the answers

    Which of the following is the most accurate statement regarding the nurse's role in addressing the spouse's fear of visiting the client with tuberculosis?

    <p>The nurse should obtain further information about the spouse's specific fears so they can be addressed.</p> Signup and view all the answers

    What is the primary reason the nurse should recommend visiting nurses for directly observed therapy as the most appropriate referral for a client being discharged on long-term therapy for tuberculosis?

    <p>All of the above reasons are correct.</p> Signup and view all the answers

    Based on the information provided, what is the most likely diagnosis for the client seen in the emergency department?

    <p>Inhalation anthrax</p> Signup and view all the answers

    What is the appropriate duration of oral antibiotic treatment for inhalation anthrax after completing intravenous antibiotics?

    <p>60 days</p> Signup and view all the answers

    Why is sputum culture not recommended for the client with suspected inhalation anthrax?

    <p>Sputum culture is not reliable for diagnosing inhalation anthrax</p> Signup and view all the answers

    What type of precautions should be implemented for a client with inhalation anthrax?

    <p>Standard Precautions</p> Signup and view all the answers

    Why is directly observed therapy (DOT) not recommended for the client with inhalation anthrax?

    <p>DOT is only used for monitoring treatment adherence in tuberculosis</p> Signup and view all the answers

    What is the most appropriate action for the nurse when the spouse of a client with tuberculosis (TB) refuses to visit due to fear?

    <p>Explain that TB is not transmissible through casual contact</p> Signup and view all the answers

    What type of precautions should be implemented for a client with active tuberculosis (TB)?

    <p>Airborne Precautions</p> Signup and view all the answers

    What is the purpose of directly observed therapy (DOT) in the treatment of tuberculosis (TB)?

    <p>To ensure adherence to the complete course of anti-TB treatment</p> Signup and view all the answers

    What is the primary nursing action that should be taken based on the positive tuberculosis test result?

    <p>Place the client on Airborne Precautions immediately</p> Signup and view all the answers

    Which statement accurately describes the significance of the positive tuberculosis test result?

    <p>It indicates a previous exposure to tuberculosis, but not necessarily active disease</p> Signup and view all the answers

    If the client is confirmed to have active tuberculosis, which additional nursing action would be appropriate?

    <p>Recommend isolation in a negative pressure room</p> Signup and view all the answers

    Which of the following statements accurately describes the potential consequences of a delayed or missed tuberculosis diagnosis?

    <p>All of the above</p> Signup and view all the answers

    If the client is confirmed to have active tuberculosis, which additional nursing intervention would be appropriate?

    <p>Provide education on the importance of treatment adherence</p> Signup and view all the answers

    Which of the following statements accurately describes the mode of transmission for tuberculosis?

    <p>Tuberculosis is transmitted through airborne droplet nuclei</p> Signup and view all the answers

    Which nursing action would be appropriate if the client is confirmed to have latent tuberculosis infection?

    <p>Recommend prophylactic antibiotic therapy</p> Signup and view all the answers

    Which of the following statements accurately describes the risk factors for tuberculosis transmission in healthcare settings?

    <p>Tuberculosis transmission risk increases with prolonged exposure to infected individuals</p> Signup and view all the answers

    Study Notes

    Infection Control and Management

    • A client with fever, fatigue, and dry cough, and mediastinal widening on chest x-ray, may have early inhalation anthrax, requiring oral antibiotics for at least 60 days after IV antibiotics are finished.
    • Anthrax is not transmissible from person to person, so Standard Precautions are adequate, and directly observed therapy is not necessary.

    Tuberculosis Management

    • Clients with tuberculosis (TB) require a treatment regimen for 6 to 12 months, making adherence problematic, and the nurse should stress the importance of following the treatment plan for the entire duration.
    • The nurse should educate the client on the importance of adherence to the treatment regimen, and encourage the client to eat a well-balanced diet and balance rest with activity.
    • Directly observed therapy is often used for managing clients with TB in the community.

    Communication and Education

    • When a client is fearful of visiting a spouse with TB, the nurse should educate the client on the importance of following the treatment plan, and teach the client ways to balance rest with activity.
    • The nurse should address the spouse's specific fears and concerns to decrease stress and permit visitation.
    • When a client is being discharged on long-term therapy for TB, the nurse should refer the client to Visiting Nurses for directly observed therapy.

    Respiratory Assessment and Infection

    • A client with suspected pneumonia should have an early chest x-ray, especially in older adults, as symptoms may be vague.
    • A positive tuberculosis test requires immediate placement on Airborne Precautions to prevent the spread of the disease.

    Nursing Process and Implementation

    • When a client is admitted with suspected pneumonia, the nurse should immediately place the client on Airborne Precautions if the client has a positive tuberculosis test.
    • The nurse should prioritize preventing the spread of the disease over other actions.

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    Related Documents

    Chapter 28 tb.docx

    Description

    This quiz presents a situation where a family member questions the necessity of a chest x-ray for a patient with vague symptoms. Test your knowledge on the best nursing response in such a scenario.

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