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 report monthly to have your blood drawn to monitor kidney function while taking medication.”
"You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease.”
"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.”
The Correct Answer is C
The nurse should inform the client that they will need to take two or more medications to treat their disease [C].
The treatment of active pulmonary tuberculosis typically involves a combination of several antibiotics for a period of 6 to 12 months.
Choice A is wrong because monitoring kidney function is not typically necessary while taking medication for tuberculosis [A].
Choice B is wrong because tuberculin skin tests are not necessary every 6 months while taking medication for tuberculosis [B].
Choice D is wrong because the duration of treatment for active pulmonary tuberculosis is typically 6 to 12 months, not 3 years [D].
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale:
- This response is not appropriate because it is judgmental and may make the client feel defensive.
- It is important for the nurse to respect the client's right to make their own decisions about their health care.
- Telling the client what they should do can undermine their autonomy and potentially damage the nurse-client relationship.
- It's crucial for the nurse to remain objective and avoid imposing their personal opinions or beliefs onto the client.
Choice B rationale:
- This response is also not appropriate because it is using scare tactics to try to persuade the client to get the vaccine.
- This approach can be counterproductive and may further alienate the client.
- It's important to provide accurate information about the risks and benefits of the vaccine in a neutral and non-threatening manner.
Choice C rationale:
- This is the most appropriate response because it acknowledges the client's right to refuse the vaccine while still encouraging them to get it.
- It also demonstrates respect for the client's autonomy and validates their feelings.
- This approach is more likely to foster a positive nurse-client relationship and keep the door open for future discussions about vaccination.
Choice D rationale:
- This response is not accurate because the influenza vaccine is not mandatory for all clients before discharge.
- It is important for the nurse to provide accurate information to the client.
- Threatening the client with an against medical advice form is not appropriate and may be considered a form of coercion.
Correct Answer is B
Explanation
Warfarin is an oral anticoagulant medication and is not administered subcutaneously.
The nurse should clarify this prescription with the provider before administering it.
Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.
Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.
Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.
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