A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?

The client tests negative for HIV.

The client has a positive purified protein derivative test.

The client has a negative sputum culture.

The client's liver function test results are within the expected reference range.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Testing negative for HIV does not mean that the client is taking the antibiotics as prescribed. HIV is a virus that weakens the immune system and makes people more susceptible to tuberculosis, but it is not related to the medication regimen for tuberculosis.

Choice B rationale:

having a positive purified protein derivative test does not mean that the client is taking the antibiotics as prescribed. A purified protein derivative test is a skin test that checks for exposure to tuberculosis bacteria, but it does not measure the effectiveness of the medication regimen. A positive test means that the client has been exposed to tuberculosis bacteria at some point in their life, but it does not mean that they have an active infection or that they are taking the antibiotics as prescribed.

Choice C rationale:

The client has a negative sputum culture. A sputum culture is a test that checks for the presence of tuberculosis bacteria in the mucus that is coughed up from the lungs. A negative sputum culture means that the bacteria are no longer detectable and that the medication regimen is effective. A positive sputum culture means that the bacteria are still present and that the medication regimen may need to be adjusted.

Choice D rationale:

Having normal liver function test results does not mean that the client is taking the antibiotics as prescribed. Liver function tests are blood tests that check for damage to the liver caused by medications or other factors. Isoniazid and rifampin can cause liver damage, so the nurse should monitor the client's liver function tests regularly to prevent or detect any problems. However, having normal liver function test results does not mean that the client is taking the antibiotics as prescribed or that the medication regimen is effective.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.

Choice B rationale:

Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.

Choice C rationale:

The rate of drug absorption tends to decrease with age, not increase.

Choice D rationale:

Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.

Choice E rationale:

Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.

Correct Answer is ["0.4"]

Explanation

To answer this question, we need to use the formula for calculating the dosage of medication:

Dose ordered / Dose on hand = Amount to administer

The calculation is: 4,000 units / 10,000 units/mL = 0.4 mL.

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A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?

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Naxlex Comprehensive Predictor Exams

A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

Correct Answer is ["0.4"]

Explanation

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