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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Remove the catheter and palpate the client's bladder for residual distention:
This is not the next appropriate action. Palpating the bladder does not address the immediate need to relieve the remaining urine or monitor for signs of overdistension.

B. Allow the bladder to empty completely or up to 1,000 mL of urine:
Gradual emptying is recommended to prevent bladder spasms and circulatory compromise due to rapid decompression of a distended bladder. It is safe to continue draining the urine up to 1,000 mL in a controlled manner before considering clamping the catheter temporarily if needed.

C. Clamp the catheter for thirty minutes and then resume draining:
Clamping after draining only 500 mL is unnecessary. The bladder should be allowed to empty up to 1,000 mL first, as gradual decompression is generally safe and therapeutic. Clamping prematurely might cause unnecessary discomfort or delay effective bladder emptying.

D. Remove the catheter and replace with an indwelling catheter:
Replacing the catheter is not required unless there is a clinical indication, such as repeated urinary retention or prolonged voiding difficulties. A straight catheter is appropriate for one-time use unless otherwise specified.

A. A B. B C. C D. D

Correct Answer is A

Explanation

A. This is the correct area of auscultating for carotid bruit.

B. This is the area of auscultation for femoral artery bruit.
C. This is the brachial artery region.
D. This is the abdominal aorta

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 unable to void following a procedure, so the nurse obtains a prescription to perform a straight catheterization. After inserting the catheter, the nurse observes that the client has an immediate output of 500 mL of clear yellow urine. Which action should the nurse implement next?

Correct Answer is B

Explanation

To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location.)

Correct Answer is A

Explanation

Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

When preparing to administer a prescribed medication to a homeless male at a community psychiatric clinic, the client tells the nurse that he usually takes a different dosage. Which action should the nurse take?

A client is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in the 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?

A6-week-old infant with pyloric stenosis is scheduled for a pyloromyotomy, Which pre- operative nursing action has highest priority?

Which environmental factor is most significant when planning care for a client with osteomalacia?

A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)