Module 5 Ch 20

Question 1

What is pulmonary TB

Answer 1

primarily affects the lung parenchyma

Question 2

Where can TB spread to

Answer 2

meninges, kidneys, bones, lymph nodes

Question 3

What are some risk factors associated with TB

Answer 3

• Close contact with active TB cases
• Immunocomp
• Substance use disorder
• Inadequate healthcare
• Preexisting med conditions
• living in group settings
• healthcare workers

Question 4

When does a TB infection begin

Answer 4

when mycobacteria are inhaled and reach alveoli
the bacteria multiply and spread via lymphatic and blood systems

Question 5

How do you get granulomas from TB

Answer 5

immune response leads to imflamm which forms them, they then get calcified

Question 6

What are some symptoms of TB

Answer 6

low grade fever, cough, night sweats, fatigue, weight loss, hemoptysis

Question 7

What are some diagnostic testing for TB

Answer 7

• Positive skin testing, blood testing
• Chest X-ray to show lesions in upper lobes

Question 8

When do you come back for TB skin testing reading

Answer 8

48-72 hrs after injection

Question 9

Does a positive skin test mean you have active TB

Answer 9

no

Question 10

When can you get results from Quantiferon TB gold testing

Answer 10

24-36 hrs

Question 11

What do you look for for TB in a sputum culture

Answer 11

AFB

Question 12

What are some older adult considerations with TB

Answer 12

• Can present atypically
• Unusual behavior, weight loss, anorexia, ams, fever

Question 13

How can you manage TB medically

Answer 13

• Anti TB agents for 49 months
• Combo meds are used to improve adherence
• Common: isoniazid and rifampin

Question 14

What is the nursing management of TB

Answer 14

• Promote airway clearance
• Encourage adherence to treatment regimen
• Support activity and nutrition
• Prevent transmission

Question 15

What is pleurisy

Answer 15

inflammation of both layers of pleura

Question 16

What are some symptoms of pluerisy

Answer 16

severe, sharp, knifelike pain on inspiration
- worsens with deep breathing, coughing, sneezing

Question 17

What is some nursing management for pleurisy

Answer 17

enhance comfort
education on pain management

Question 18

What is pulmonary edema

Answer 18

Abnormal fluid accumulation in lung tissue and alveolar space

Question 19

What is a noncardiogenic cause of pulmonary edema

Answer 19

chest trauma, aspiration, smoke inhalation, sepsis, pancreatitis

Question 20

What is a pulmonary embolism

Answer 20

obstruction of pulmonary artery or branches by thrombus

Question 21

What is a venous thromboembolism

Answer 21

both a DVT and PE