A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?

The client’s family will also need to take medications to prevent infection.

A typical course of treatment involves 6 to 9 months of consistent medication use.

Medications will need to be taken until the Mantoux test is negative.

Medications will need to be taken for the rest of the client’s life even if the client feels better.

Answer and Explanation

The Correct Answer is B

Pulmonary tuberculosis (TB) is treated with a combination of antitubercular medications for a period of 6 to 9 months. It is important for the client to take their medications consistently and complete the full course of treatment to ensure that the infection is fully treated and to prevent the development of drug- resistant TB.

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Correct Answer is B

Explanation

Rifampin can cause body ﬂuids such as urine, sweat, saliva, and tears to turn a reddish-orange color. This is a harmless side eﬀect and is not a cause for concern. The nurse should instruct the client to expect this change in color while taking the medication.

A. A recent history of diarrhea for 3 days. B. Serum creatinine 0.8 mg/dL. C. Severe allergy to amoxicillin. D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.

Correct Answer is C

Explanation

Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.

A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.

A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.

A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a diﬀerent site or route for administration if necessary.

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A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is C

Explanation

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