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

The client has a positive purified protein derivative test.

The client tests negative for HIV.

The client has a negative sputum culture.

Answer and Explanation

The Correct Answer is D

A.   The client's liver function test results are within the expected reference range: While monitoring liver function tests is essential for clients taking isoniazid and rifampin due to
potential hepatotoxicity, normal liver function test results do not necessarily indicate adherence to the medication regimen. Adherence is best assessed by the client's response to treatment, such as improvement in symptoms and resolution of the infection.
B.   The client has a positive purified protein derivative test: A positive purified protein derivative (PPD) test indicates exposure to Mycobacterium tuberculosis but does not provide information about the client's adherence to the medication regimen for tuberculosis treatment. Adherence to treatment is determined by factors such as medication compliance and therapeutic response.
C.   The client tests negative for HIV: The client's HIV status is not directly related to adherence to the tuberculosis medication regimen. While co-infection with HIV can impact the management of tuberculosis, testing negative for HIV does not confirm adherence to tuberculosis treatment.
D.   The client has a negative sputum culture: A negative sputum culture indicates the absence of viable Mycobacterium tuberculosis organisms in the sputum sample and suggests effective
treatment and adherence to the medication regimen. Monitoring sputum culture conversion is a key indicator of treatment success in tuberculosis therapy.

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Correct Answer is C

Explanation

A. Pedal edema is not typically associated with an acute infusion reaction to amphotericin B.

B. A dry cough is not typically associated with an acute infusion reaction to amphotericin B.

C. Fever is a common manifestation of an acute infusion reaction to amphotericin B, indicating a systemic inflammatory response.
D. Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.

A. Advise the client to change positions slowly. B. Check the client for orthostatic hypotension. Monitor the client for dysrhythmias. C. Advise the client to restrict potassium intake. D. Advise the client to take the medication before bedtime.

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

Explanation

A. Advise the client to change positions slowly: The client's symptoms of dizziness and light- headedness upon standing suggest orthostatic hypotension, which can be managed by advising the client to change positions slowly to minimize blood pressure drops upon standing.
B. Check the client for orthostatic hypotension. Monitor the client for dysrhythmias: The client's symptoms, along with the report of waking up at night to void, are suggestive of orthostatic hypotension, a drop in blood pressure upon standing. Checking for orthostatic hypotension and monitoring for dysrhythmias are appropriate nursing actions to assess and manage this condition.

C. Advise the client to restrict potassium intake: Restricting potassium intake is not indicated based on the client's symptoms of dizziness and light-headedness. This action is not relevant to the situation described.
D. Advise the client to take the medication before bedtime: There is no indication in the scenario provided that medication timing is related to the client's symptoms. This action is not relevant to addressing the client's reported symptoms.

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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 assessing a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is C

Explanation

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

Explanation

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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?