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:
Peanuts are not directly related to influenza vaccine contraindications.
Choice B rationale:
Shellfish allergies are not directly related to influenza vaccine contraindications.
Choice C rationale:
Milk allergies are not directly related to influenza vaccine contraindications.
Choice D rationale:
Influenza vaccines are typically grown in eggs and may contain trace amounts of egg protein. A severe egg allergy can be a contraindication for receiving the influenza vaccine due to the risk of an allergic reaction.
Correct Answer is C
Explanation
Choice A rationale:
Amphotericin B lipid complex is normally yellow in color, so discarding it would be wasteful and inappropriate. The nurse should only discard the medication if it is cloudy, discolored, or contains particulate matter.
Choice B rationale:
Amphotericin B lipid complex should be administered over 1 hr, not 2 hr, to reduce the risk of infusion-related reactions such as fever, chills, rigors, hypotension, and tachycardia. The nurse should also premedicate the client with antipyretics, antihistamines, and corticosteroids to prevent or minimize these reactions.
Choice C rationale:
Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
Choice D rationale:
Amphotericin B lipid complex should be administered using an infusion pump, not a gravity flow set, to ensure accurate and consistent delivery of the medication. The nurse should also use a filter needle when drawing up the medication from the vial and a 5-micron filter when infusing it to remove any impurities or aggregates.
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