A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the
... [Show More] treatment is effective?
a. Bronchial breath sounds are heard at the right base.
b. The patient coughs up small amounts of green mucus.
c. The patient's white blood cell (WBC) count is 9000/μL.
d. Increased tactile fremitus is palpable over the right chest. - -c. The patient's white blood cell (WBC) count is 9000/μL.
The normal WBC count indicates that the antibiotics have been effective. All the other data suggest that a change in treatment is needed.
-The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Which action should the nurse take?
a. Teach about the reason for the blood tests.
b. Schedule an appointment for a chest x-ray.
c. Teach the patient about providing specimens for 3 consecutive days.
d. Instruct the patient to collect several separate sputum specimens today. - -c. Teach the patient about providing specimens for 3 consecutive days.
Sputum specimens are obtained on 2 to 3 consecutive days for bacteriologic testing for Mycobacterium tuberculosis. The patient should not provide all the specimens at once. Blood cultures are not used for tuberculosis testing.
-A patient is admitted with *active tuberculosis* (TB). The nurse should *question* a health care provider's order to *discontinue airborne precautions* unless which assessment finding is documented?
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Sputum smears for acid-fast bacilli are negative. - -d. Sputum smears for acid-fast bacilli are negative.
Repeated negative sputum smears indicate that Mycobacterium tuberculosis is not present in the sputum, and the patient cannot transmit the bacteria by the airborne route.
-The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB). Which statement, if made by the patient, indicates that teaching was effective?
a. "I will take the bus instead of driving." [Show Less]