Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 43

2.

Which of the following antituberculous drugs can cause damage to the eighth cranial nerve?

Streptomycin
Isoniazid
Para-aminosalicylic acid
Ethambutol hydrochloride

Correct Answer

A. Streptomycin

Explanation

Streptomycin is an aminoglycoside. and eight cranial nerve damage (ototoxicity) is a common side effect from aminoglycosides.

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3.

The client experiencing eighth cranial nerve damage will most likely report which of the following symptoms?

Vertigo
Facial paralysis
Impaired vision
Difficulty swallowing

Correct Answer

A. Vertigo

Explanation

The eighth cranial nerve is the vestibulocochlear nerve. which is responsible for hearing and equilibrium. Streptomycin can damage this nerve.

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4.

Which of the following family members exposed to TB would be at highest risk for contracting the disease?

45-year-old mother
17-year-old daughter
8-year-old son
76-year-old grandmother

Correct Answer

A. 76-year-old grandmother

Explanation

Elderly persons are believed to be at higher risk for contracting TB because of decreased immunocompetence. Other high-risk populations in the US include the urban poor. AIDS. and minority groups.

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5.

The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? Select all that apply.

“I will need to dispose of my old clothing when I return home.”
“I should always cover my mouth and nose when sneezing.”
“It is important that I isolate myself from family when possible.”
“I should use paper tissues to cough in and dispose of them properly.”
“I can use regular plate and utensils whenever I eat.”

Correct Answer(s)

A. “I should always cover my mouth and nose when sneezing.”
A. “I should use paper tissues to cough in and dispose of them properly.”
A. “I can use regular plate and utensils whenever I eat.”

Explanation

The client's statement "I should always cover my mouth and nose when sneezing" indicates that he understands the importance of practicing respiratory hygiene to prevent the spread of TB. The statement "I should use paper tissues to cough in and dispose of them properly" shows that the client is aware of the need to contain respiratory secretions and dispose of them appropriately. The statement "I can use regular plate and utensils whenever I eat" suggests that the client understands that TB is not transmitted through food or utensils, indicating a good understanding of how the disease spreads.

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6.

A client has a positive reaction to the PPD test. The nurse correctly interprets this reaction to mean that the client has:

Active TB
Had contact with Mycobacterium tuberculosis
Developed a resistance to tubercle bacilli
Developed passive immunity to TB.

Correct Answer

A. Had contact with Mycobacterium tuberculosis

Explanation

A positive PPD test indicates that the client has been exposed to tubercle bacilli. Exposure does not necessarily mean that active disease exists.

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7.

INH treatment is associated with the development of peripheral neuropathies. Which of the following interventions would the nurse teach the client to help prevent this complication?

Adhere to a low cholesterol diet
Supplement the diet with pyridoxine (vitamin B6)
Get extra rest
Avoid excessive sun exposure.

Correct Answer

A. Supplement the diet with pyridoxine (vitamin B6)

Explanation

INH competes with the available vitamin B6 in the body and leaves the client at risk for development of neuropathies related to vitamin deficiency. Supplemental vitamin B6 is routinely prescribed.

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8.

The nurse should include which of the following instructions when developing a teaching plan for clients receiving INH and rifampin for treatment for TB?

Take the medication with antacids
Double the dosage if a drug dose is forgotten
Increase intake of dairy products
Limit alcohol intake

Correct Answer

A. Limit alcohol intake

Explanation

INH and rifampin are hepatotoxic drugs. Clients should be warned to limit intake of alcohol during drug therapy. Both drugs should be taken on an empty stomach. If antacids are needed for GI distress. they should be taken 1 hour before or 2 hours after these drugs are administered. Clients should not double the dosage of these drugs because of their potential toxicity. Clients taking INH should avoid foods that are rich in tyramine. such as cheese and dairy products. or they may develop hypertension.

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9.

The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. Which nursing action would be most appropriate for this client?

Ask the client’s spouse to supervise the daily administration of the medications.
Visit the clinic weekly to ask him whether he is taking his medications regularly.
Notify the physician of the client’s non-compliance and request a different prescription.
Remind the client that TB can be fatal if not taken properly.

Correct Answer

A. Ask the client’s spouse to supervise the daily administration of the medications.

Explanation

Directly observed therapy (DOT) can be implemented with clients who are not compliant with drug therapy. In DOT. a responsible person. who may be a family member or a health care provider. observes the client taking the medication. Visiting the client. changing the prescription. or threatening the client will not ensure compliance if the client will not or cannot follow the prescribed treatment.

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10.

The Causative agent of Tuberculosis is said to be:

Mycobacterium Tuberculosis
Hansen’s Bacilli
Bacillus Anthracis
Group A Beta Hemolytic Streptococcus

Correct Answer

A. Mycobacterium Tuberculosis

Explanation

The correct answer is Mycobacterium Tuberculosis. Tuberculosis is caused by the bacteria Mycobacterium tuberculosis, which primarily affects the lungs but can also affect other parts of the body. Hansen's Bacilli is another term for Mycobacterium leprae, the bacteria that causes leprosy. Bacillus anthracis is the causative agent of anthrax. Group A Beta Hemolytic Streptococcus is responsible for various infections such as strep throat and skin infections, but it is not the causative agent of tuberculosis.

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Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 43

The nurse obtains a sputum specimen from a client with suspected TB for laboratory study. Which of the following laboratory techniques is most commonly used to identify tubercle bacilli in sputum?

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Which of the following antituberculous drugs can cause damage to the eighth cranial nerve?

The client experiencing eighth cranial nerve damage will most likely report which of the following symptoms?

Which of the following family members exposed to TB would be at highest risk for contracting the disease?

The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? Select all that apply.

A client has a positive reaction to the PPD test. The nurse correctly interprets this reaction to mean that the client has:

INH treatment is associated with the development of peripheral neuropathies. Which of the following interventions would the nurse teach the client to help prevent this complication?

The nurse should include which of the following instructions when developing a teaching plan for clients receiving INH and rifampin for treatment for TB?

The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. Which nursing action would be most appropriate for this client?

The Causative agent of Tuberculosis is said to be: