A 15-year-old child whose parents are diplomats in the foreign ...

[viki]

A 15-year-old child whose parents are diplomats in the foreign country where the child was born is brought to the emergency department with fatigue, weight loss, and a dry cough, and night sweats.
 
  The nurse plans care for this client based on which of the following potential risks? 1. Pneumonia
   2. Pneumothorax
   3. Renal failure
   4. Septicemia

Question 2

The nurse is assessing a new admission who is 90 years old and is diagnosed with tuberculosis. The nurse plans to assess this client realizing that the older client may present with symptoms in which of the following ways?
 
  1. Hemoptysis and fever
   2. Night sweats
   3. Coughing
   4. Complaints of joint and bone pain

[bubulittle310@msn.cn]

Answer to Question 1

2. Pneumothorax

Rationale:
This client was foreign born, a risk factor for TB, and has the classic symptoms of tuberculosis. The nurse plans frequent respiratory assessments as this child is at risk for pneumothorax. Clients with TB are not at particular risk for pneumonia, renal failure, or septicemia.

Answer to Question 2

4. Complaints of joint and bone pain

Rationale:
Tuberculosis in older adults occurs as a pulmonary disease but can also be extrapulmonary with dissemination to lymph nodes, bones, kidneys, gastrointestinal tract, and skin. Typical symptoms of tuberculosis are less common in the elderly, who may present with confusion and altered mental status. It most commonly occurs as a reactivation of a dormant infection that was not effectively treated in the past. The number of cases is highest in the age group of older adults (65 and older) except for clients with HIV/AIDS. The elderly client's response to tuberculosis would not include hemoptysis and fever, night sweats, or coughing.

[viki]

TYSM

[mohan]

Excellent