Which statement by a patient with a new diagnosis of tuberculosis requires correction?

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Question 1 of 5

Which statement by a patient with a new diagnosis of tuberculosis requires correction?

Correct Answer: C

Rationale: The correct answer is C. This statement is incorrect because stopping tuberculosis medications prematurely can lead to treatment failure and the development of drug-resistant strains. Patients must complete the full course of treatment to ensure the infection is completely eradicated. Wearing a mask to prevent spreading the infection, taking medication for at least 6 months as prescribed, and scheduling regular follow-up appointments are all essential steps in managing tuberculosis effectively.

Question 2 of 5

The nurse is preparing a patient for thoracentesis. Which position is most appropriate?

Correct Answer: B

Rationale: The correct position for thoracentesis is sitting upright and leaning forward (Choice B). This position allows better access to the thoracic cavity, facilitating the procedure and reducing the risk of complications. Sitting upright helps expand the intercostal space, making it easier to insert the needle accurately. Leaning forward also helps the patient breathe more comfortably during the procedure. Supine position (Choice A) with the head of the bed flat may not provide optimal access to the thoracic cavity. Lying on the affected side (Choice C) may not allow proper visualization and access to the site. Prone position with arms raised above the head (Choice D) is not suitable for thoracentesis as it does not facilitate proper access to the thoracic cavity.

Question 3 of 5

A patient with influenza complains of worsening fatigue and shortness of breath. What is the priority nursing action?

Correct Answer: B

Rationale: The correct answer is B: Assess lung sounds for crackles. This is the priority nursing action because the patient's worsening fatigue and shortness of breath may indicate developing pneumonia, a common complication of influenza. Assessing lung sounds for crackles helps in identifying any signs of respiratory distress or infection, which require immediate intervention. Encouraging rest and fluid intake (choice A) is important but not the priority in this case. Providing supportive oxygen therapy (choice C) may be necessary based on assessment findings but should come after assessing lung sounds. Notifying the healthcare provider immediately (choice D) is important but assessing the patient's condition first is crucial for prompt intervention.

Question 4 of 5

A patient recovering from a thoracotomy has new-onset shortness of breath. What is the nurse's priority action?

Correct Answer: C

Rationale: The correct answer is C because assessing oxygen saturation and lung sounds is crucial in determining the patient's respiratory status. This helps identify potential complications like pneumothorax or atelectasis, which are common after thoracotomy. Deep breaths (A) can worsen conditions like pneumothorax. Notifying the healthcare provider (B) may delay immediate action. Administering bronchodilators (D) is not appropriate without a comprehensive assessment.

Question 5 of 5

The nurse is preparing a patient with pleural effusion for thoracentesis. Which is the most appropriate position for the procedure?

Correct Answer: B

Rationale: The correct answer is B: Sitting upright and leaning forward. This position allows optimal lung expansion and better access to the pleural effusion, making the procedure safer and more effective. Conversely, A (supine) can cause difficulty in accessing the effusion, C (on the side opposite) may not provide adequate lung expansion, and D (prone) can hinder access to the effusion and increase the risk of complications.

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