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 A

Explanation

A. Provide disposable training pants while calming the mother: This option addresses the

immediate need to provide comfort and support to the child and mother. Offering disposable

training pants can help manage the situation while the nurse addresses the mother's distress and educates her about age-appropriate toilet training expectations.

B. Refer the mother to a community parent education program: While parent education programs can be beneficial, they are not the initial action needed in this situation, which requires
immediate intervention to support the child and mother.
C. Suggest that the mother consult a pediatric nephrologist: Referring the mother to a pediatric nephrologist may not be necessary at this point, as wetting accidents are common in young
children during the toilet training process. The nurse should first address the immediate emotional needs of the child and mother.
D. Inform the mother that toilet training is slower for boys: While it's true that toilet training can vary in timing for different children, simply providing this information to the mother may not be sufficient in addressing the distressing situation at hand.

A. Reposition the infant every 2 hours: B. Cover with a receiving blanket. C. Perform diaper changes under the light. D. feed the infant every 4hours

Correct Answer is A

Explanation

A. Reposition the infant every 2 hours: This ensures that all areas of the infant's skin receive equal exposure to the phototherapy light, which is important for the effective treatment of jaundice.

B. Cover with a receiving blanket: This is incorrect because the phototherapy light needs to reach the infant's skin directly. Covering the infant with a blanket would block the light and reduce the effectiveness of the treatment.

C. Perform diaper changes under the light: While it is important to minimize the time the infant is away from the phototherapy light, diaper changes should be done quickly and efficiently, not necessarily under the light, to ensure cleanliness and to prevent any potential discomfort or safety issues.

D. Feed the infant every 4 hours: Feeding the infant is important, but the frequency of feeding should be based on the infant's needs and not specifically tied to the phototherapy schedule. Additionally, frequent feeding can help promote bowel movements, which can aid in the excretion of bilirubin.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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