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 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 will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."
The Correct Answer is C
Choice A rationale:
The treatment duration for active pulmonary tuberculosis is usually shorter than 3 years.
Choice B rationale:
Monitoring kidney function is not the primary focus of tuberculosis medication management.
Choice C rationale:
Treatment for active pulmonary tuberculosis involves using a combination of two or more medications to prevent drug resistance and effectively treat the infection.
Choice D rationale:
Tuberculin skin tests are used for diagnosing tuberculosis, not for monitoring treatment progress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Nicotine nasal spray delivers a rapid dose of nicotine to the bloodstream, which can help reduce cravings and withdrawal symptoms. The recommended dose is 1 to 2 sprays in each nostril every hour, up to 40 sprays per day. The client should not sniff, swallow, or inhale while spraying, and should avoid contact with the eyes and skin.
Choice B rationale:
The nicotine patch should be changed every 24 hours, not every other day. The patch provides a steady dose of nicotine through the skin, which can help prevent cravings and withdrawal symptoms. The client should apply the patch to a clean, dry, and hairless area of the skin, and rotate the site of application daily.
Choice C rationale:
the nicotine gum should be chewed for about 30 minutes, not 10 minutes, before spitting it out. The gum releases nicotine into the mouth, which is then absorbed into the bloodstream through the mucous membranes. The client should chew the gum slowly until a peppery taste or tingling sensation occurs, then park it between the cheek and gum until the taste or sensation fades, then repeat the process.
Choice D rationale:
The client should avoid drinking beverages for 15 minutes before and during sucking on a nicotine lozenge, not just while sucking on it. The lozenge dissolves in the mouth and releases nicotine, which is then absorbed into the bloodstream through the mucous membranes. Drinking beverages can interfere with the absorption of nicotine and reduce the effectiveness of the lozenge.
Correct Answer is D
Explanation
Choice A rationale:
Starting a new exercise program is not directly associated with the development of hypomagnesemia.
Choice B rationale:
Starting a new exercise program is not directly associated with the development of hypokalemia.
Choice C rationale:
Starting a new exercise program is not directly associated with the development of hypocalcemia.
Choice D rationale:
Excessive sweating during exercise, especially in hot conditions, can lead to loss of sodium through sweat, potentially resulting in hyponatremia. Lithium can also increase the risk of hyponatremia.
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