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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.
Choice B rationale:
A dry cough is a common side effect of amphotericin B, but it is not an indicator of an acute infusion reaction.
Choice C rationale:
Pedal edema is not a typical sign of an acute infusion reaction to amphotericin B.
Choice D rationale:
Fever, along with other symptoms like chills, fever, nausea, and vomiting, can be indicative of an acute infusion reaction to amphotericin B. It may require stopping the infusion and providing appropriate treatment.
Correct Answer is C
Explanation
Choice A rationale:
Testing negative for HIV does not mean that the client is taking the antibiotics as prescribed. HIV is a virus that weakens the immune system and makes people more susceptible to tuberculosis, but it is not related to the medication regimen for tuberculosis.
Choice B rationale:
having a positive purified protein derivative test does not mean that the client is taking the antibiotics as prescribed. A purified protein derivative test is a skin test that checks for exposure to tuberculosis bacteria, but it does not measure the effectiveness of the medication regimen. A positive test means that the client has been exposed to tuberculosis bacteria at some point in their life, but it does not mean that they have an active infection or that they are taking the antibiotics as prescribed.
Choice C rationale:
The client has a negative sputum culture. A sputum culture is a test that checks for the presence of tuberculosis bacteria in the mucus that is coughed up from the lungs. A negative sputum culture means that the bacteria are no longer detectable and that the medication regimen is effective. A positive sputum culture means that the bacteria are still present and that the medication regimen may need to be adjusted.
Choice D rationale:
Having normal liver function test results does not mean that the client is taking the antibiotics as prescribed. Liver function tests are blood tests that check for damage to the liver caused by medications or other factors. Isoniazid and rifampin can cause liver damage, so the nurse should monitor the client's liver function tests regularly to prevent or detect any problems. However, having normal liver function test results does not mean that the client is taking the antibiotics as prescribed or that the medication regimen is effective.
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