Fluoroquinolones should be used with caution in which of the following clients?

Choice A rationale:

The goal of having the client state adverse reactions to report is important, but it is not the primary goal of antitubercular therapy. The main objective is to ensure that the client and their family understand the drug regimen to promote adherence and successful treatment. This is crucial in preventing drug-resistant tuberculosis and achieving the desired outcome.

Choice B rationale:

Maintaining adequate nutritional status is essential for overall health, but it is not the primary goal of antitubercular therapy. While good nutrition can support the immune system, the central goal should be related to medication adherence and preventing the spread of tuberculosis.

Choice D rationale:

Client managing the therapeutic regimen effectively is an important aspect of tuberculosis treatment, but this choice lacks the emphasis on educating the client and their family about the drug regimen, which is a fundamental component of successful therapy.

Choice E rationale:

The negative sputum culture is an indicator of treatment success, but it's more of an outcome measure than a goal for the client. The primary goal should focus on education and adherence to the drug regimen.

Choice A rationale:

Sedation is not a common adverse reaction to antiretroviral therapy. Antiretroviral medications are primarily used to treat HIV and do not typically cause sedation.

Choice B rationale:

Bruising is a potential adverse reaction to antiretroviral therapy. Some antiretroviral medications can cause blood-related side effects, such as decreased platelet count, which can result in easy bruising and bleeding. It's important for the nurse to include this in the teaching plan to ensure the client is aware of this potential side effect.

Choice C rationale:

Altered taste is not a common adverse reaction to antiretroviral therapy. While some medications can cause taste disturbances, this is not a typical side effect of antiretroviral drugs.

Choice D rationale:

Constipation is not a common adverse reaction to antiretroviral therapy. Antiretroviral medications primarily target the HIV virus and do not typically cause gastrointestinal issues like constipation.