Tuberculosis is a serious infectious bacteria disease that will affect mostly the lungs. Tuberculosis is easily spread when an infected person sneezes or coughs.Patient with TB are placed on airborne Isolation that is in negative pressure room with anteroom room attached.( In hospital as inpatient)It can be treated with a six months course with medications given and taken properly.
SYMPTOMS ARE:
Blood tinged sputum.
Night sweats.
Weight loss.
Fever.
(1)Mrs Miranda Sanchez is 39years old female came to the health clinic to be screened for tuberculosis. The tuberculosis mantoux test came back positive.But her chest Xray and sputum culture came back negative. Isniazid(INH)and pyridoxine(Vitamin B6) are prescribed for mrs Sanchez. Mrs Sanchez asks the nurse what is the meaning of the results of her test.
(A )The result is negative since your Xray and sputum are negative.
(B )The results means that more test are needed.
(C )Mrs Sanchez has been infected with tuberculosis.
(D) All of the above.
Correct answer C.
(2)The nurse explains to mrs. Sanchez that pyridoxine is administered with INH in order to?
(A )Prevent INH associated neuritis.
(B )To prevent nausea and Vomiting.
(C )Prevent diarrhea, nausea and Vomiting.
(D) All of the above.
Correct answer A.
(3)Mrs Sanchez is told to bring her husband during her next visit to the healthcare clinic. In order to determine whether mr Sanchez has been infected with tuberculosis, the nurse injects him with purified protein derivative. (PPD)Which of the following skin reactions might be interpreted as positive tuberculosis test?.
(A )Redness without induration.
(B )Bump on both arms.
(C )Induration(5-10 millimeter of firm,swelling)
(D) All of the above.
Correct answer C.
(4)The nurse overhears mrs Sanchez talking to her husband about Tuberculosis. Which statement made by Mrs Sanchez shows that further teaching is needed.
(A) I will take my medication and remain in Isolation for six months.
(B) I must remain in Isolation for four weeks.
(C) All of the above.
(D) None of the above.
Correct answer B.
(5)A friend of Mrs Sanchez tells her that her children will probably get TB from her.Which of the following statement if made by the nurse is true.
( A)It is possible that the family could be infected but studies need to be done.
(B )Absolutely no questions ask.
(C) A & B.
(D) All of the above.
Correct answer A
CASE SCENARIO:HEPATITIS B.
QUESTIONS AND ANSWERS .
(1) Linda Godlove is 27years old female admitted to the hospital with a diagnosis of hepatitis B,Isolation precautions, lowfat diet,high in protein ,Carbohydrate and calories. Linda is placed on Contact Isolation. The nurse understands this because.
Answer
(A)Health team members can contract hepatitis B through contact with blood and body fluids of an infected individual.
(B) It is not necessary to use contact precautions because universal precautions in enough.
(C )Should be airborne Isolation.
(D) All of the above.
Correct answer A.
(2) The nurse provides dietary instructions to Mrs Linda.Which of the following meals if selected by Mrs Linda would indicate that she can identify foods appropriate to her?.
Answer
(A )Lean roasted beef, orange juice and cereal.
B Milk and Banana.
C Rice and yogurt.
D All of the above.
Correct answer A.
(3 )Miss Linda develops pruritus and she ask the nurse why is she itching so much?The nurse replies
Answer
(A ) Itching is normal. You don’t have to worry about it.
(B )The itching is caused by the accumulation of bile salts in your skin,that you are unable to excrete at this time.
(C)I think that the itching is because of dryness.
(D) None of the above.
Correct answer B.
(4) The nurse enters the following nursing diagnosis for Miss Linda.Alteration in comfort related to pruritus. Which of the following would be the most appropriate nursing intervention to include with this diagnosis?.
Answer
(A) There is no intervention. It will disappear.
(B )Apply calamine lotion onto affected areas .
(C) None of the above.
(D) All of the above.
Correct answer B.
(5) The nurse enters Miss Linda room to find her looking at herself in the mirror. Miss Linda Godlove turns to the nurse and shouts,I hate the way I look with yellow skin”and begins to cry .Which of the following statements if made by the nurse would be most therapeutic?.
Answer.
(A) I understand, it’s okay to be upset.I sorry I can’t help you.
(B) I know you’re upset but your skin will return to its normal color as you get well.
(C)It is a permanent damage to your skin.
(D) All of the above.
Correct answer B.
Nurses You Move Me 
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