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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: An elevated white blood cell count might indicate an infection but does not directly relate to gentamicin administration.
Choice B rationale: Gentamicin is nephrotoxic, and an increase in creatinine levels could indicate kidney damage or impaired renal function, requiring immediate attention to prevent further nephrotoxic effects.
Choice C rationale: A potassium level within the normal range does not require immediate attention related to gentamicin use.
Choice D rationale: An elevated fasting blood glucose might indicate hyperglycemia but is not directly related to gentamicin administration.
Correct Answer is B
Explanation
Choice A rationale: Propranolol and raloxifene are not typically associated with causing hearing loss.
Choice B rationale: Furosemide (loop diuretic) and amikacin (aminoglycoside antibiotic) can cause hearing loss, especially when used together, due to their potential ototoxic effects, requiring close monitoring for signs of hearing impairment in clients receiving both medications.
Choice C rationale: Losartan and atorvastatin are not commonly linked to causing hearing loss.
Choice D rationale: While digoxin can cause hearing disturbances, levothyroxine is not typically associated with hearing loss.
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