The nurse caring for several clients with mycobacterium ...

[Tazate]

The nurse caring for several clients with mycobacterium infections on a medical unit monitors which clients for atypical mycobacterial infections (AMIs)?
 
  Standard Text: Select all that apply.
  1. A client with tuberculosis
  2. A client with HIV
  3. A client with leprosy
  4. A client who is post-transplant
  5. A client with leukemia

Question 2

The nurse is reading the client's medical history and learns that the client has a history of infections with Mycobacterium scrofulaceum. Based on this finding, the nurse would expect the client to be from which age group?
 
  1. 6075 years
  2. 4050 years
  3. 1218 years
  4. 13 years

[nixon_s]

Answer to Question 1

Correct Answer: 2,4,5
Rationale 1: A client with tuberculosis is not considered to be at risk for an atypical mycobacterial infection.
Rationale 2: A client with HIV is considered to be at risk for an atypical mycobacterial infection.
Rationale 3: A client with leprosy is not considered to be at risk for an atypical mycobacterial infection.
Rationale 4: A client who is post-transplant is considered to have an atypical mycobacterial infection.
Rationale 5: A client with leukemia is considered to have an atypical mycobacterial infection.
Global Rationale: Nontuberculosis diseases caused by mycobacteria are known as atypical mycobacterial infections (AMIs). These are considered opportunistic infections because they most often appear in people with compromised immune defenses, such as those with HIV, leukemia, or who are post-transplant. Clients with tuberculosis or leprosy are not at such high a risk.

Answer to Question 2

Correct Answer: 4
Rationale 1: Mycobacterium scrofulaceum is not common in older adults.
Rationale 2: Mycobacterium scrofulaceum is not common in the middle-age adult years.
Rationale 3: Mycobacterium scrofulaceum is not common in the adolescent years.
Rationale 4: Mycobacterium scrofulaceum usually affects children.
Global Rationale: Mycobacterium scrofulaceum usually affects children 1 to 3 years of age. Other age groups are not commonly affected.

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