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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Free Nursing Study Resources

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

Explanation

A. "Consumption of a high protein meal can reduce the effectiveness of the medication."
High-protein meals can interfere with levodopa absorption in the intestine, reducing its effectiveness. Clients should consume protein in moderate amounts and distribute intake throughout the day.

B. "You may notice your urine becomes lighter in color."
Levodopa can cause urine, sweat, and saliva to become darker (brown, red, or black), not lighter. This is a harmless side effect but should be discussed with the client.

C. "You may initially notice an increase in involuntary movements."
Levodopa can cause dyskinesia (involuntary movements), especially with prolonged use or at higher doses. These movements can include facial twitching, jerking, or head bobbing.

D. "The medication can cause nausea, so take with a meal."
Levodopa can cause nausea, particularly when first starting the medication. Taking it with food can help reduce gastrointestinal discomfort, but avoiding high-protein meals is important.

E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position."
Levodopa can cause orthostatic hypotension, leading to dizziness or light-headedness when changing positions. Clients should be advised to rise slowly to prevent falls.

A. Respiratory rate B. HR rate C. Pain level D. Temperature

Correct Answer is B

Explanation

A. Respiratory rate: While propranolol can potentially affect respiratory function in individuals with certain respiratory conditions, such as asthma, assessing the respiratory rate is not typically a priority assessment before administering propranolol.
B. HR rate: Propranolol is a beta-blocker that primarily affects heart rate and blood pressure.

Therefore, assessing the heart rate (HR) is crucial prior to administering propranolol, as it can cause bradycardia and heart block.
C. Pain level: Propranolol is not typically associated with pain modulation or analgesic effects.

Assessing pain level may be relevant for other medications or conditions but is not specifically related to propranolol administration.
D. Temperature: Propranolol does not typically affect body temperature, and assessing temperature is not typically necessary before administering propranolol.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in a provider's office. Exhibits Which of the following statements should the nurse include when teaching the client about the prescribed LEVODPA? Select all that apply.

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

Explanation

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Correct Answer is 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?