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) Position the client’s head toward Mecca: In Islam, it is customary to position the deceased's body with the head facing toward Mecca, the holy city of Islam. This is an important religious practice and should be followed during postmortem care to respect the deceased's cultural and religious beliefs.
B) Allow a family member of the client to stay with the client’s body until burial: It is customary in many Islamic traditions for a family member to stay with the body, providing comfort and ensuring the body is treated with respect. However, the nurse should ensure this is done within the hospital's policies and in a safe, culturally sensitive manner. This practice should be respected, but it is not the immediate priority for the nurse during postmortem care.
C) Allow a family member to stay with the client’s body for 8hr: While some Islamic traditions may involve family members staying with the body, the nurse should adhere to the specific wishes of the family and the institution's policies. The 8-hour duration is not a specific religious requirement, and the focus should be on providing respectful, appropriate care and ensuring the family’s wishes are honored within the hospital's guidelines.
D) Position the client’s head northward: In Islamic traditions, the body is positioned with the head facing toward Mecca, not northward. Positioning the head in a direction other than toward Mecca would not align with the cultural practices of Islam regarding postmortem care. Therefore, this action would not be appropriate.
Correct Answer is ["C","D","E"]
Explanation
A) Instruct another nurse to record the prescription in the medical record:
The nurse receiving a telephone prescription is responsible for ensuring the prescription is recorded correctly in the medical record. It is not appropriate to delegate this responsibility to another nurse. The nurse should personally document the prescription to ensure accuracy and clarity.
B) Withhold the medication until the provider signs the prescription:
The nurse should not withhold the medication solely based on the provider's signature. Telephone prescriptions are valid once they are received and documented accurately by the nurse. The prescription must be signed by the provider as soon as possible, but withholding medication is not warranted unless there are other concerns with the prescription.
C) Ask the provider to spell out the name of the medication:
When receiving a telephone prescription, the nurse should ask the provider to spell out the name of the medication to avoid errors. Medication names, especially those that sound similar, need to be communicated clearly to ensure correct medication administration. This action helps prevent misinterpretation or confusion, ensuring patient safety.
D) Record the date and time of the telephone prescription:
Recording the date and time of the telephone prescription is essential for accurate documentation and legal purposes. This step ensures that there is a clear record of when the prescription was given and that the provider’s order is traceable in the client’s medical record. It also assists in meeting legal and institutional documentation requirements.
E) Request that the provider confirm the read-back of the prescription:
The nurse should read back the prescription to the provider to confirm accuracy. This action is part of the "read-back" process, a safety measure used to verify that the prescription has been communicated correctly and understood by both the nurse and the provider. This step helps reduce the risk of medication errors.
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