A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

This medication may cause my blood pressure to increase."

"I should take an antacid with each dose of this medication."

"I plan to take this medication for 1 week."

"I will have my liver function tested while I am taking this medication."

Answer and Explanation

The Correct Answer is D

Regular monitoring of liver function is important while taking isoniazid because the medication can cause liver damage in some individuals.
A.   Isoniazid (INH) does not typically affect blood pressure.
B.   Antacids can interfere with the absorption of isoniazid, so they should be avoided or taken at least one hour before or two hours after taking isoniazid.
C.   Treatment for tuberculosis typically involves taking isoniazid for a minimum of 6 to 9 months, sometimes longer, depending on the severity of the infection

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Correct Answer is B

Explanation

B. Supporting the feet with a rolled pillow helps prevent foot drop (a common issue in hemiplegia). It maintains the ankle in a neutral position, preventing contractures.
A. When lying on the stomach (prone position), the neck should be neutral (neither flexed nor extended). Flexing the neck backward can strain the cervical spine and compromise airway alignment.
C. For a client with right-sided hemiplegia, the affected leg (right leg) should be supported to prevent foot drop.
D. A thick pillow under the head can cause neck hyperextension.
The head should be supported with a small, firm pillow to maintain a neutral neck position.

A. "You will need to have the skin test annually." B. "You will need to follow up with your provider." C. "You will need to return in 48 hours for re-evaluation." D. "Your test will need to be repeated at this time."

Correct Answer is B

Explanation

B. The client's PPD skin test result of 12 mm induration is considered positive for individuals who are at increased risk of tuberculosis, such as those with recent exposure to tuberculosis or immunocompromised individuals. A positive PPD result typically requires follow-up with a healthcare provider for further evaluation, which may include chest X-rays, sputum cultures, and treatment for latent tuberculosis infection if indicated.
A. Annual PPD testing may be indicated for certain populations, such as healthcare workers or individuals at high risk of exposure to tuberculosis. However, the decision to repeat the PPD test annually should be based on individual risk factors and healthcare provider recommendations.
C. The PPD skin test is typically read 48-72 hours after administration to assess for induration.
D. A PPD skin test result of 12 mm induration is considered positive for individuals at increased risk of tuberculosis, but it does not necessarily indicate that the test needs to be repeated immediately.

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A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

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Explanation

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