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Content Area: Adult Health: Respiratory
Health Problem: Adult Health: Respiratory: Tuberculosis
Priority Concepts: Client Education; Infection
Reference: Lewis et al. (2017), pp. 507-508.

582. Answer: 3

Rationale: Tuberculosis is definitively diagnosed through culture and isolation of
Mycobacterium tuberculosis. A presumptive diagnosis is made based on a tuberculin
skin test, a sputum smear that is positive for acid-fast bacteria, a chest x-ray, and
histological evidence of granulomatous disease on biopsy.
Test-Taking Strategy: Focus on the subject, confirming the diagnosis of
tuberculosis. Confirmation is made by identifying the bacteria, M. tuberculosis.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Respiratory
Health Problem: Adult Health: Respiratory: Tuberculosis
Priority Concepts: Evidence; Infection
Reference: Ignatavicius, Workman, Rebar (2018), pp. 605, 607.

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