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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increasing oxygen to 6 liters/minute may not address the underlying cause of the client's wheezing and may not be the most appropriate intervention at this time.
B. Calling for an Ambu resuscitation bag may be necessary if the client's condition deteriorates further, but it is not the initial intervention for a client with asthma exacerbation.
C. Instructing the client to lie back in bed may not be effective and may exacerbate respiratory distress.
D. Administering a nebulizer treatment with a bronchodilator (e.g., albuterol) is the most appropriate intervention for a client with asthma exacerbation experiencing wheezing and respiratory distress. Nebulizer treatments deliver medication directly to the airways, helping to relieve bronchospasm and improve breathing.
Correct Answer is B
Explanation
A. An abdominal binder can be worn daily to reduce the protrusion: This is not an appropriate intervention for an umbilical hernia in an infant. Abdominal binders are typically used for support after abdominal surgeries or to manage hernias in adults.
B. This hernia is a normal variation that resolves without treatment: Umbilical hernias are common in infants and typically resolve on their own without intervention by around 1 to 2 years of age. Reassuring the mother about the benign nature of the hernia is appropriate.
C. The quarter should be secured with an elastic bandage wrap: Taping a quarter over the umbilicus is not a recommended treatment for an umbilical hernia and could pose a choking hazard to the infant.
D. Restrictive clothing will be adequate to help the hernia go away: Restrictive clothing is not an effective treatment for umbilical hernias in infants and could potentially cause discomfort or complications.
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