A nurse is teaching a client who has active pulmonary tuberculosis about the management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

"You should report monthly to have your blood drawn to monitor kidney function while taking medication."

"You will need to take two or more medications to treat your disease."

"You should anticipate taking medication to treat your disease for at least the next 3 years."

"You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."

Answer and Explanation

The Correct Answer is B

Choice A rationale: While monitoring kidney function might be necessary for some medications, it's not a routine monitoring requirement for tuberculosis medication.
Choice B rationale: Treatment for active pulmonary tuberculosis typically involves combination therapy with multiple medications to effectively target the bacteria and prevent resistance.
Choice C rationale: The duration of tuberculosis treatment varies but typically ranges from 6 to 9 months, not 3 years.
Choice D rationale: Tuberculin skin tests are used for diagnosis and not typically for monitoring treatment progress.

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Correct Answer is B

Explanation

Choice A rationale: Erythromycin lactobionate should be reconstituted with sterile water for injection, not dextrose solution. Dextrose solution can cause precipitation and reduce the effectiveness of the medication.
Choice B rationale: Erythromycin lactobionate is a macrolide antibiotic that can cause ototoxicity, which is damage to the inner ear that can result in hearing loss, tinnitus, or vertigo. The nurse should monitor the client for signs of ototoxicity and report any changes to the provider.
Choice C rationale: Erythromycin lactobionate can cause diarrhea, not constipation. The nurse should advise the client to drink plenty of fluids and monitor for signs of dehydration.
Choice D rationale: Erythromycin lactobionate should be administered over 20 to 60min, depending on the dose and the client's condition. Administering the medication too rapidly can cause phlebitis, thrombophlebitis, or cardiac arrhythmias.

A. Potassium chloride 10 mEq/hr B. Bicarbonate by IV infusion C. Subcutaneous insulin injections D. 0.9% sodium chloride 15 mL/kg/hr

Correct Answer is D

Explanation

Choice A rationale: While potassium replacement is important in diabetic ketoacidosis, fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice B rationale: Bicarbonate infusion might be considered in severe acidosis, but fluid administration is the priority.
Choice C rationale: The priority intervention for a client with diabetic ketoacidosis and very high blood glucose levels is to initiate fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice D rationale: The first intervention the nurse should initiate is fluid resuscitation with 0.9% sodium chloride at a rate of 15 mL/kg/hr to restore intravascular volume, improve renal perfusion, and flush out ketones.

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A nurse is teaching a client who has active pulmonary tuberculosis about the management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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