A nurse is reinforcing discharge instructions to a client who is postoperative from a hip arthroplasty. Which of the following statements by the client indicates a correct understanding of the teaching?

Choice A rationale
Rifampin does not cause amenorrhea when taken with oral contraceptives. However, it can reduce the effectiveness of hormonal contraceptives, including oral contraceptives, due to its enzyme-inducing properties. This means that women taking rifampin should use an alternative or additional non-hormonal method of contraception to prevent pregnancy.
Choice B rationale
Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. This is why it is recommended to wear glasses instead of contact lenses while taking this medication.
Choice C rationale
A yellow tint to the skin is not an expected reaction to rifampin. However, rifampin can cause a harmless red-orange discoloration of body fluids such as urine, sweat, saliva, and tears.
Choice D rationale
Lifelong treatment with rifampin is not necessary. The duration of treatment for active tuberculosis typically ranges from 6 to 9 months, depending on the specific treatment regimen and the patient’s response to therapy.

Choice A rationale
High fever in the early morning is not a typical finding in pulmonary tuberculosis. TB patients may experience low-grade fevers, but high fevers are less common and usually occur in the evening or at night.
Choice B rationale
Fatigue is a common symptom of pulmonary tuberculosis. TB is a chronic infectious disease that can cause prolonged periods of fatigue and weakness due to the body’s ongoing immune response to the infection.
Choice C rationale

Increased appetite is not a typical finding in pulmonary tuberculosis. TB patients often experience a loss of appetite and unintentional weight loss due to the systemic effects of the infection.
Choice D rationale
Night sweats are a classic symptom of pulmonary tuberculosis. TB patients often experience drenching night sweats as a result of the body’s immune response to the infection. This symptom, along with chronic cough and weight loss, is a key indicator of TB.