Physiological Adaptation Q 79



A male client has active tuberculosis (TB). Which of the following symptoms will be exhibited?
  
     A. Chest and lower back pain
     B. Chills, fever, night sweats, and hemoptysis
     C. Fever of more than 104°F (40°C) and nausea
     D. Headache and photophobia
    
    

Correct Answer: B. Chills, fever, night sweats, and hemoptysis

Typical signs and symptoms are chills, fever, night sweats, and hemoptysis.

Option A: Chest pain may be present from coughing but isn’t usual. Pleurisy is a condition where there is inflammation or irritation of the lining of the lungs and chest. There is a sharp pain felt when breathing, coughing, or sneezing.
Option C: Clients with TB typically have low-grade fevers, not higher than 102°F (38.9°C). Fever typically develops in the late afternoon or evening in 68% of the cases, and this typical fever is significantly more common in patients less 60 years of age.
Option D: Nausea, headache, and photophobia aren’t usual TB symptoms. Typical symptoms include a cough that lasts for more than 3 weeks, loss of appetite and unintentional weight loss, fever, chills, and night sweats.