A nurse is providing teaching to a client who has the communicable disease tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
"I will remain in the hospital until my treatment is completed."
"I will wear a surgical mask around my family."
"I will need medication to treat my condition for the rest of my life."
"I will need to provide a sputum specimen every 4 weeks until I test negative."
The Correct Answer is D
A) "I will remain in the hospital until my treatment is completed.": Hospitalization is not typically required for the entire duration of tuberculosis (TB) treatment. Most patients with TB can continue their treatment at home with proper medication and infection control measures, unless they have severe disease or complications.
B) "I will wear a surgical mask around my family.": A surgical mask is not sufficient to protect others from TB. Patients with active TB should wear an N95 respirator mask to reduce the risk of spreading the infection, especially in situations where close contact is unavoidable.
C) "I will need medication to treat my condition for the rest of my life.": TB treatment generally involves a course of medication lasting 6 to 9 months. Long-term, lifelong medication is not required; however, adherence to the full course of prescribed antibiotics is crucial to ensure the infection is fully eradicated.
D) "I will need to provide a sputum specimen every 4 weeks until I test negative.": Monitoring sputum samples every 4 weeks is a standard practice to assess the effectiveness of TB treatment and confirm that the patient is no longer infectious. This statement indicates an understanding of the ongoing evaluation needed during treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Manic behavior: Hyperthyroidism can lead to manic or hyperactive behavior due to increased metabolic rate and overstimulation of the nervous system. This may present as irritability, anxiety, or restlessness, making manic behavior a relevant manifestation in this condition.
B) Deep, labored respirations: Hyperthyroidism generally does not cause deep, labored respirations. Instead, it may lead to increased respiratory rate due to heightened metabolic activity. Deep, labored respirations are more indicative of respiratory or cardiac issues rather than hyperthyroidism.
C) Bradycardia: Hyperthyroidism usually causes tachycardia (elevated heart rate) rather than bradycardia (slow heart rate). Tachycardia is a common symptom due to the increased metabolic rate and sympathetic nervous system activity associated with hyperthyroidism.
D) Cold intolerance: Cold intolerance is more characteristic of hypothyroidism, where there is decreased metabolic activity and reduced heat production. Hyperthyroidism typically causes heat intolerance due to the increased metabolic rate and elevated body temperature.
Correct Answer is D
Explanation
A) Irrigate the affected ear with hydrogen peroxide: Irrigating the ear with hydrogen peroxide is not recommended post-myringotomy. This can cause irritation or infection at the surgical site, which could impede healing and potentially worsen the condition.
B) Drink liquids through a straw: Drinking liquids through a straw can create pressure changes in the ear, which is not advisable post-myringotomy. These pressure changes might affect the healing process of the ear.
C) Swimming is permitted after 1 week: Swimming is typically restricted for a longer period post-myringotomy to prevent water from entering the ear, which can lead to infection or interfere with the healing process.
D) Air travel is allowed after 3 weeks: Air travel restrictions are generally recommended for a few weeks post-myringotomy due to pressure changes that occur during flight, which can affect the ear's healing process. Waiting for 3 weeks allows the surgical site to heal sufficiently, reducing the risk of complications from pressure changes.
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