Which statement regarding the pathophysiology of TB is accurate? ...

[theo]

Which statement regarding the pathophysiology of TB is accurate?
 
  1. The settling of the bacillus in the alveoli triggers the clotting response.
   2. Macrophages form hard tubercules around bacilli that always remain dormant in the lungs.
   3. TB can affect the lungs, spinal cord, bone formation and the brain.
   4. Tubercles in the lungs can remain dormant or progress to active tuberculosis, but are not as prevalent in children.

Question 2

The pediatric nurse reminds the ancillary personnel that cultural needs and customs of the dying patient from an Asian culture are:
 
  a. The same across all cultures
  b. Secondary to providing care
  c. Best discussed using an interpreter
  d. Unique to a given culture

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Answer to Question 1

4
Feedback
1. The clotting response is not triggered by the bacillus.
2. The tubercules are rare in children.
3. TB affects the lungs only.
4. Tubercles in the lungs can remain dormant or progress to active tuberculosis, but are not as prevalent in children.

Answer to Question 2

D
The cultural needs of the dying patient are unique to a given culture. Attending to cultural needs regarding death is just as important as providing palliative care. Cultural care is affected by language barriers, because the patient may not be able to communicate needs and the staff may misinterpret the actions of the person of another culture. The use of an interpreter delays communication.

[theo]

Thanks for the timely response, appreciate it

[gcook]

Excellent