Pulmonary Tuberculosis Stokke N180

20 Questions | Total Attempts: 103

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Pulmonary Quizzes & Trivia

This is a quiz created from my notes from Chris' N180 class. As always, the usual disclaimers apply.


Questions and Answers
  • 1. 
    Because TB is a (large/small) bacteria,  ____________________.
    • A. 

      Small; it is more susceptible to body defenses

    • B. 

      Large; your body isolates it by encasing it in gellanous substance

    • C. 

      Small; it will stay airborne longer

    • D. 

      Large; it will live on surfaces longer

  • 2. 
    True or False: TB is not contagious unless the infected person is symptomatic.
    • A. 

      True

    • B. 

      False

  • 3. 
    True or False: Very few people develop an inactive form of the disease.
    • A. 

      True

    • B. 

      False

  • 4. 
    Risk of being infectious decreases _______________ after treatment.
    • A. 

      1-2 weeks

    • B. 

      2-3 weeks

    • C. 

      3-4 weeks

  • 5. 
    Which of the following describes "nightsweats," a symptom of TB?
    • A. 

      Any sweating at night

    • B. 

      Sweating so much that the forehead is moist and the hair is damp even if the room is cool

    • C. 

      Sweating enough that the linen needs to be changed and the patient is soaking wet.

  • 6. 
    A person in the urgent care clinic complains of a non-productive cough, fever, fatigue, and complains of sweating profusely at night. Would you consider this a potential TB infection?
    • A. 

      No, TB always presents with a PRODUCTIVE cough. It is probably a virus.

    • B. 

      Yes, TB can present with a non-productive cough, but a PPD test is necessary to diagnose.

    • C. 

      Yes, it is definitely TB. No further test is necessary to diagnose.

  • 7. 
    CHECK ALL THAT APPLY: Which of the following are risk factors for TB?
    • A. 

      Advanced age

    • B. 

      Young age

    • C. 

      Immunocompromised

    • D. 

      Recent respiratory illness

    • E. 

      Crowded living conditions

    • F. 

      Travel anywhere outside the U.S.

    • G. 

      Travel outside the U.S. ONLY to 3rd world countries

  • 8. 
    Taking a sputum culture is important in TB management. In a Petre dish, sputum can take ___________ to grow.
    • A. 

      1-2 weeks

    • B. 

      2-3 weeks

    • C. 

      3-4 weeks

  • 9. 
    Which of the following describes TB precautions in the hospital?
    • A. 

      Mask, gloves, and gown

    • B. 

      Just a mask

    • C. 

      Private laminar airflow room, special masks, sometimes a gown, and gloves

  • 10. 
    When sending a potentially infected (or known infected) TB patient to another department, what is the best action to take?
    • A. 

      Call them ahead of time so they can prepare their department for the patient.

    • B. 

      Call them ahead of time and insist they do the procedure in the patient's room.

    • C. 

      Put a mask on the patient and bring him/her down to the department yourself so you can notify them before they begin the procedure.

  • 11. 
    CHECK ALL THAT APPLY: When a patient is taking Isoniazid (INH) to treat TB, it is important that the nurse ______________________________.
    • A. 

      Alert the patient to the possible side effect of orange body secretions (especially urine)

    • B. 

      Monitor LFTs because of possible hepatotoxicity

    • C. 

      Give it to the patient BEFORE he/she eats because it needs to be taken on an empty stomach.

    • D. 

      Contact the doctor if the patient has gout or joint pain.

    • E. 

      Give Vit B6 because it can prevent hepatotoxicity specifically with this medication

    • F. 

      Perform optic screening throughout therapy

    • G. 

      Perform hearing screening prior to and during therapy because of the potential side effect of ototoxicity

    • H. 

      Encourage fluid intake due to possible nephrotoxicity

    • I. 

      Monitor renal function labs due to possible nephrotoxicity

    • J. 

      Alert the patient to the possible side effect of increased uric acid that can cause gout or joint pain.

    • K. 

      Alert the patient to the possible side effect of optic neuritis, a decrease in acuity in vision, and red/green color indiscrimination problems

    • L. 

      Contact the doctor if the patient is jaundiced

  • 12. 
    CHECK ALL THAT APPLY: When a patient is taking Rifampin to treat TB, it is important that the nurse ______________________________.
    • A. 

      Alert the patient to the possible side effect of orange body secretions (especially urine)

    • B. 

      Monitor LFTs because of possible hepatotoxicity

    • C. 

      Give it to the patient BEFORE he/she eats because it needs to be taken on an empty stomach.

    • D. 

      Contact the doctor if the patient has gout or joint pain.

    • E. 

      Give Vit B6 because it can prevent hepatotoxicity specifically with this medication

    • F. 

      Perform optic screening throughout therapy

    • G. 

      Perform hearing screening prior to and during therapy because of the potential side effect of ototoxicity

    • H. 

      Encourage fluid intake due to possible nephrotoxicity

    • I. 

      Monitor renal function labs due to possible nephrotoxicity

    • J. 

      Alert the patient to the possible side effect of increased uric acid that can cause gout or joint pain.

    • K. 

      Alert the patient to the possible side effect of optic neuritis, a decrease in acuity in vision, and red/green color indiscrimination problems

    • L. 

      Contact the doctor if the patient is jaundiced

  • 13. 
    CHECK ALL THAT APPLY: When a patient is taking Pyrazinamide to treat TB, it is important that the nurse ______________________________.
    • A. 

      Alert the patient to the possible side effect of orange body secretions (especially urine)

    • B. 

      Monitor LFTs because of possible hepatotoxicity

    • C. 

      Give it to the patient BEFORE he/she eats because it needs to be taken on an empty stomach.

    • D. 

      Contact the doctor if the patient has gout or joint pain.

    • E. 

      Give Vit B6 because it can prevent hepatotoxicity specifically with this medication

    • F. 

      Perform optic screening throughout therapy

    • G. 

      Perform hearing screening prior to and during therapy because of the potential side effect of ototoxicity

    • H. 

      Encourage fluid intake due to possible nephrotoxicity

    • I. 

      Monitor renal function labs due to possible nephrotoxicity

    • J. 

      Alert the patient to the possible side effect of increased uric acid that can cause gout or joint pain.

    • K. 

      Alert the patient to the possible side effect of optic neuritis, a decrease in acuity in vision, and red/green color indiscrimination problems

    • L. 

      Contact the doctor if the patient is jaundiced

  • 14. 
    CHECK ALL THAT APPLY: When a patient is taking Ethambutol to treat TB, it is important that the nurse ______________________________.
    • A. 

      Alert the patient to the possible side effect of orange body secretions (especially urine)

    • B. 

      Monitor LFTs because of possible hepatotoxicity

    • C. 

      Give it to the patient BEFORE he/she eats because it needs to be taken on an empty stomach.

    • D. 

      Contact the doctor if the patient has gout or joint pain.

    • E. 

      Give Vit B6 because it can prevent hepatotoxicity specifically with this medication

    • F. 

      Perform optic screening throughout therapy

    • G. 

      Perform hearing screening prior to and during therapy because of the potential side effect of ototoxicity

    • H. 

      Encourage fluid intake due to possible nephrotoxicity

    • I. 

      Monitor renal function labs due to possible nephrotoxicity

    • J. 

      Alert the patient to the possible side effect of increased uric acid that can cause gout or joint pain.

    • K. 

      Alert the patient to the possible side effect of optic neuritis, a decrease in acuity in vision, and red/green color indiscrimination problems

    • L. 

      Contact the doctor if the patient is jaundiced

  • 15. 
    CHECK ALL THAT APPLY: When a patient is taking Streptomycin to treat TB, it is important that the nurse ______________________________.
    • A. 

      Alert the patient to the possible side effect of orange body secretions (especially urine)

    • B. 

      Monitor LFTs because of possible hepatotoxicity

    • C. 

      Give it to the patient BEFORE he/she eats because it needs to be taken on an empty stomach.

    • D. 

      Contact the doctor if the patient has gout or joint pain.

    • E. 

      Give Vit B6 because it can prevent hepatotoxicity specifically with this medication

    • F. 

      Perform optic screening throughout therapy

    • G. 

      Perform hearing screening prior to and during therapy because of the potential side effect of ototoxicity

    • H. 

      Encourage fluid intake due to possible nephrotoxicity

    • I. 

      Monitor renal function labs due to possible nephrotoxicity

    • J. 

      Alert the patient to the possible side effect of increased uric acid that can cause gout or joint pain.

    • K. 

      Alert the patient to the possible side effect of optic neuritis, a decrease in acuity in vision, and red/green color indiscrimination problems

    • L. 

      Contact the doctor if the patient is jaundiced

  • 16. 
    When being treated for TB, it is important that the patient is told ______________________________________________.
    • A. 

      That TB is a contagious disease and he/she will need to take their antibiotics until the bottle is empty to ensure they are no longer infectious.

    • B. 

      That their body isolates the disease in their lungs and they can stop taking their antibiotics when they feel better.

    • C. 

      It is usually a long term therapy and they will need to refill their medications until they are told to stop by the doctor.

  • 17. 
    CHECK ALL THAT APPLY: Which of the following antibiotics are specifically used for TB?
    • A. 

      Ethambutol

    • B. 

      Rifampin

    • C. 

      Pyrazinamide

    • D. 

      Streptomycin

    • E. 

      Isoniazid (INH)

  • 18. 
    First time exposure through inhalation of the TB bacterium is called ________________.
    • A. 

      Progressive Primary TB

    • B. 

      Secondary TB

    • C. 

      Primary TB

  • 19. 
    When exposed to TB, most people develop _______________________________.
    • A. 

      A latent infection in which the immune system prevents it from spreading and is NOT contagious.

    • B. 

      A latent infection in which the immune system prevents it from spreading, but CAN BE contagious.

    • C. 

      An active infection in which it spreads throughout the lungs, but is NOT contagious.

    • D. 

      An active infection in which it spreads throughout the lungs and IS contagious while symptoms last.

  • 20. 
    The definition of Secondary TB is _____________________________.
    • A. 

      Acquiring the disease through any other exposure than airborne (i.e. through body fluids).

    • B. 

      Reinfection of a primary lesion.

    • C. 

      Acquiring an ACTIVE form of the disease upon first time exposure (usually due to being immunocompromised).