For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client:
Airbone prescription
Rifampin
Contact precautions
Isoniazid
Monthly TB skin test for 1 year
Pyrazinamide
Ethambutol
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"}}
Airborne precautions (Anticipated): Tuberculosis is an airborne disease, requiring negative pressure isolation, N95 respirators, and airborne precautions to prevent transmission.
Rifampin (Anticipated): A key first-line TB medication that inhibits bacterial RNA synthesis. It is part of the standard RIPE (Rifampin, Isoniazid, Pyrazinamide, Ethambutol) regimen.
Contact precautions (Contraindicated): TB does not spread via direct contact, so contact precautions (gloves, gowns) are unnecessary unless the client has open wounds with drainage.
Isoniazid (Anticipated): A primary anti-TB drug that inhibits mycolic acid synthesis, crucial for treating active and latent TB infections.
Monthly TB skin test for 1 year (Contraindicated): Once TB is diagnosed, routine Mantoux tests are unnecessary, as they will likely remain positive due to prior exposure.
Pyrazinamide (Anticipated): A bactericidal TB medication used in the intensive phase of treatment to shorten therapy duration.
Ethambutol (Anticipated): Used to prevent drug resistance in TB treatment. Regular eye exams are needed due to the risk of optic neuritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) "My baby will receive the rotavirus immunization orally.":
This statement is correct. The rotavirus vaccine is given orally in two or three doses depending on the specific vaccine used (Rotarix or RotaTeq). The vaccine is administered in the mouth and helps protect against rotavirus infections, which can cause severe diarrhea in infants and young children.
B) "I should expect my baby to have a high fever for 24 hours after an immunization.":
This statement is incorrect. While it is common for infants to experience mild side effects after immunizations, such as a low-grade fever or irritability, a high fever is not typically expected. If the baby develops a high fever (above 100.4°F), the guardian should seek advice from the healthcare provider, as it could indicate a reaction or infection.
C) "I should not feed my baby anything for hours prior to an immunization.":
This statement is incorrect. There is no need to withhold feeding before an immunization, and the baby should be fed as usual. In fact, feeding the infant before the appointment may help comfort them and reduce stress during the visit.
D) "My baby will receive three doses of the meningococcal immunization before kindergarten.":
This statement is incorrect. The meningococcal vaccine is typically administered starting at age 11, with a second dose given at age 16. For infants and young children, the vaccine is not part of the routine immunization schedule. Meningococcal vaccination before kindergarten is not recommended for infants at 2 months of age.
Correct Answer is B
Explanation
A) Arterial blood gases: Arterial blood gas (ABG) tests are typically used to assess respiratory and metabolic function, including the balance of oxygen and carbon dioxide in the blood. While important in many clinical situations, ABGs are not specifically relevant for monitoring a client on levothyroxine, as it does not directly affect gas exchange or acid-base balance.
B) Thyroid stimulating hormone (TSH): TSH is the most important laboratory test to monitor in a client taking levothyroxine, as this medication is used to replace or supplement thyroid hormone levels. Levothyroxine directly affects thyroid hormone levels in the body, so monitoring TSH levels is essential for determining whether the medication dosage needs to be adjusted. Elevated TSH levels may indicate that the dose is too low, while low levels may suggest an overdose.
C) Prothrombin time: Prothrombin time (PT) is used to assess blood clotting and coagulation status. While certain thyroid conditions can influence coagulation, PT is not a routine test to monitor in clients on levothyroxine therapy unless there are specific concerns related to bleeding or clotting. It is not the most relevant test for monitoring thyroid function in this context.
D) Blood urea nitrogen (BUN): Blood urea nitrogen (BUN) levels reflect kidney function and hydration status. While kidney function is always important to monitor, BUN is not specifically used to assess the effects of levothyroxine therapy. It would not provide direct information regarding the effectiveness of the medication or the thyroid status of the client.
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