The nurse in an inner city clinic is providing a health screening ...

[K@]

The nurse in an inner city clinic is providing a health screening for a homeless client with a history of drug abuse. The client has a chronic non-productive cough. For which should the nurse expect to screen this client?
 
  A) Herpes zoster
  B) Sickle cell disease
  C) Sick sinus syndrome
  D) Tuberculosis

Question 2

The nurse is preparing to assess an older adult client admitted with tuberculosis. Which manifestations does the nurse anticipate for this client?
 
  A) Night sweats
  B) Swollen lymph nodes
  C) Cough
  D) Hemoptysis

[fwbard]

Answer to Question 1

Answer: D

The homeless client who abuses drugs is at risk for contracting tuberculosis (TB); therefore, the nurse would expect to screen this client for TB. There is no evidence to support the need to screen the client for sickle cell disease, herpes zoster, or sick sinus syndrome.

Answer to Question 2

Answer: C

Presenting symptoms of tuberculosis in the older adult are often vague and include coughing, weight loss, diminished appetite, and periodic fevers. Night sweats, swollen lymph nodes, and hemoptysis are not considered presenting symptoms of tuberculosis in the older adult.