A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

Conversion of the client's PPD test from negative to positive

History of intravenous drug abuse

Current diagnosis of hepatitis B

Length of time of exposure to tuberculosis

Answer and Explanation

The Correct Answer is C

A. Conversion of the PPD test from negative to positive indicates exposure to tuberculosis but does not contraindicate the administration of isoniazid. It may actually indicate the need for prophylactic treatment.

B. A history of intravenous drug abuse is not directly related to the administration of isoniazid. However, it may be important for assessing risk factors for tuberculosis transmission and adherence to treatment.

C. Isoniazid can cause hepatotoxicity, so it is essential to assess for pre-existing liver conditions such as hepatitis B before administering the medication. Hepatitis B may increase the risk of liver damage associated with isoniazid.

D. The length of time of exposure to tuberculosis is important for assessing the risk of infection and determining the need for prophylactic treatment but does not impact the administration of isoniazid.

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Correct Answer is D

Explanation

A. Securing the chest tube to the stretcher is important, but not the most critical action as it does not directly affect the function of the chest tube during transport.
B. Administering pain medication is important for comfort but is not the most immediate concern during urgent transport for a CT scan.

C. Marking the amount of chest drainage is a routine monitoring action and can be done before or after transport, thus not the most critical action.
D. Keeping the chest tube container below the site of insertion is crucial to maintain proper
drainage by gravity and prevent complications such as tension pneumothorax, which can be life- threatening.

A. Ibuprofen B. Docusate sodium C. Naloxone D. Propofol E. Methadone F. Senna

Correct Answer is ["B","C"]

Explanation

A. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID commonly used for
pain relief and inflammation. However, it may not be suitable for this patient due to the potential risk of bleeding and interference with wound healing after surgery.
B. Docusate sodium: Docusate sodium is a stool softener commonly prescribed with opioids to prevent constipation, a common side effect of opioid use. It helps to prevent or alleviate opioid- induced constipation.
C. Naloxone: Naloxone is an opioid antagonist used to reverse the effects of opioid overdose. It is typically prescribed alongside opioids as a precautionary measure to counteract the respiratory
depression and sedation that can occur with opioid use. Administering naloxone can rapidly reverse these effects and restore normal breathing if opioid overdose is suspected.

D. Propofol: Propofol is a sedative-hypnotic medication used for anesthesia induction and
maintenance during surgical procedures. It is not typically prescribed for pain management after surgery.
E. Methadone: Methadone is an opioid agonist often used for managing chronic pain and opioid dependence. While it is an option for pain management, it may not be the first choice for acute post-operative pain relief.
F. SennA Senna is a stimulant laxative used to treat constipation. While constipation is a concern with opioid use, docusate sodium is more commonly prescribed initially for its stool softening effects

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A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in level of consciousness. The client is orally intubated and has a left lateral chest tube to 20 cm suction. Which action is most important for the nurse to take?

Correct Answer is D

Explanation

Exhibits What other medications would the nurse expect the surgeon to prescribe along with Morphine? Select all that apply.

Correct Answer is ["B","C"]

Explanation

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