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 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

You should report monthly to have your blood drawn to monitor kidney function while taking medication

Answer and Explanation

The Correct Answer is B

A. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."
Tuberculin skin tests are typically used for screening and diagnosis, not for monitoring the effectiveness of tuberculosis treatment. Monitoring for treatment effectiveness involves assessing symptoms, sputum cultures, and other diagnostic tests.
B. "You will need to take two or more medications to treat your disease."
This is the correct answer. Tuberculosis is usually treated with a combination of antibiotics to prevent the development of drug resistance. Multidrug therapy is a standard approach to tuberculosis treatment.
C. "You should anticipate taking medication to treat your disease for at least the next 3 years."
The duration of tuberculosis treatment is generally shorter than 3 years. The standard treatment duration is typically 6 to 9 months, depending on the specific regimen used.
D. "You should report monthly to have your blood drawn to monitor kidney function while taking medication."
Monitoring kidney function is important for some medications, but it is not a standard monthly requirement for tuberculosis treatment. Monitoring typically involves assessing liver function, as certain tuberculosis medications can affect the liver.

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Correct Answer is B

Explanation

A. Glasgow Coma Scale rating of 15: A Glasgow Coma Scale (GCS) rating of 15 is a positive sign indicating that the client is fully conscious and oriented. It is not an adverse effect of mannitol.
B. Crackles on auscultation: Crackles, also known as rales, can indicate fluid overload or pulmonary edema, which can be an adverse effect of mannitol. Mannitol can cause shifts of fluid, including into the lungs, leading to pulmonary edema.
C. Increase in urinary output: Mannitol is an osmotic diuretic, and an increase in urinary output is an expected and therapeutic effect of the medication. It is not considered an adverse effect.
D. Intracranial pressure reading of 12 mmHg: A decrease in intracranial pressure is a therapeutic effect of mannitol, and a reading of 12 mmHg is generally within a normal range. It is not considered an adverse effect.

A. Stroke volume B. Urine output C. Blood pressure D. Cardiac output

Correct Answer is C

Explanation

A. Stroke volume: While stroke volume is an important parameter in assessing cardiac function, it may not directly guide the titration of nitroprusside infusion. Blood pressure is a more immediate indicator of the drug's effect on vasodilation.
B. Urine output: Nitroprusside primarily affects the vascular system and is not directly associated with urine output. Monitoring urine output is crucial in assessing renal function, but it is not the primary parameter for titrating a nitroprusside infusion.
C. Blood pressure (Correct Answer): Nitroprusside acts as a direct vasodilator, and its primary effect is on blood vessels, leading to a reduction in blood pressure. Therefore, monitoring blood pressure is essential to titrate the infusion to achieve the desired therapeutic effect.
D. Cardiac output: While nitroprusside's vasodilatory effect may influence cardiac output indirectly, blood pressure is a more immediate and specific parameter to guide the titration of the infusion. Nitroprusside is often titrated to reach a target blood pressure range in hypertensive emergencies.

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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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Naxlex Comprehensive Predictor Exams

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Explanation

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