A nurse is reinforcing teaching with a client who is at 36 weeks of gestation and is about to undergo an amniocentesis.
Which of the following information should the nurse include in the instructions?

Choice A rationale:

The nurse should inform the client that they will need periodic TB skin tests to monitor for any reactivation of the infection. This is important for assessing the client's response to treatment and ensuring early detection of any recurrence.

Choice B rationale:

Medications for tuberculosis can cause various side effects, but turning urine a blue-green color is not a common side effect associated with these medications. Providing accurate information about potential side effects is important for informed decision-making, but this statement is not accurate.

Choice C rationale:

The correct response is to inform the client that they are no longer contagious when they have negative sputum cultures. This is an important point to emphasize as it ensures that the client understands when it is safe to be around others without the risk of transmitting the infection.

Choice D rationale:

Telling the client that they will take medication for the rest of their life is incorrect and not appropriate for active pulmonary tuberculosis. Tuberculosis treatment typically involves a combination of medications taken for a specified duration, usually several months, until the infection is effectively treated.

The correct answer is choice b. Reduced fat in the stools.

Choice A rationale:

Decreased sodium excretion is not a therapeutic effect of pancrelipase. Pancrelipase is an enzyme replacement therapy that helps in the digestion of fats, proteins, and carbohydrates, but it does not affect sodium excretion.

Choice B rationale:

Reduced fat in the stools is the correct answer. Pancrelipase helps in the digestion of fats, which reduces the amount of fat excreted in the stools. This is particularly important for patients with cystic fibrosis, who often have pancreatic insufficiency leading to malabsorption of fats.

Choice C rationale:

Improved respiratory function is not a direct therapeutic effect of pancrelipase. While better nutrition and absorption can indirectly support overall health, including respiratory function, pancrelipase specifically targets digestive enzyme insufficiency.

Choice D rationale:

Improved absorption of vitamins B and C is not the primary therapeutic effect of pancrelipase. Pancrelipase aids in the absorption of fat-soluble vitamins (A, D, E, and K) rather than water-soluble vitamins like B and C.