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

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.

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.

Answer and Explanation

The Correct Answer is D

This is because TB is caused by a bacterium that can develop resistance to single-drug therapy, so a combination of drugs is used to prevent or treat drug-resistant strains. Some of the common drugs used for TB are isoniazid, rifampin, ethambutol, and pyrazinamide.

Choice A is wrong because the duration of treatment for active TB is usually 6 to 9 months, not 3 years.

Choice B is wrong because tuberculin skin tests are not reliable indicators of disease activity or response to treatment, as they can remain positive for years after successful therapy.

Choice C is wrong because blood tests to monitor kidney function are not routinely required for TB treatment unless the client has a preexisting renal impairment or is taking drugs that are nephrotoxic.

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Correct Answer is A

Explanation

This is because the umbilicus is a potential site of infection and should be avoided when administering subcutaneous heparin.

Choice B is wrong because massaging the site after administering the medication can cause bruising and hematoma formation.

Choice C is wrong because a 21-gauge needle is too large for subcutaneous injection and can cause tissue trauma and bleeding.

A smaller needle, such as 25- or 27-gauge, should be used.

Choice D is wrong because aspirating before injecting the medication can increase the risk of hematoma formation and is not recommended for subcutaneous heparin.

A. Midline catheter. B. Central venous access device. C. Subcutaneous. D. Intraosseous.

Correct Answer is B

Explanation

This is because TPN solutions are concentrated and can cause thrombosis of peripheral veins, so a central venous catheter is usually required. TPN should only be used when the intestine is unavailable or unable to absorb nutrients.

Choice A is wrong because a midline catheter is a type of peripheral catheter that can only be used for solutions with low or moderate osmolarity, not for TPN.

Choice C is wrong because subcutaneous administration is not a route for delivering TPN, which requires intravenous infusion.

Choice D is wrong because intraosseous administration is an emergency route for delivering fluids and drugs when intravenous access is not available, not for TPN.

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

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