The nurse is preparing the client for discharge.
Select the 3 client statements that indicate an understanding of the teaching.
"I am no longer contagious."
"I will need to take my medications for a total of 6 weeks."
"I can expect my contact lenses to turn red or orange."
"I will need to have someone observe me when I take my medication,"
"I can continue my current alcohol intake."
"I should notify my provider if I start taking new over-the-counter or prescription medications."
"I will need to have a repeat Mantoux test in 4 weeks."
Correct Answer : C,D,F
A. This statement is incorrect because tuberculosis treatment typically lasts longer than a week, and the client may remain contagious until the infectiousness subsides, which usually occurs after a few weeks of treatment.
B. TB treatment typically lasts for 6 months, not 6 weeks.
C. Rifampin, one of the medications for tuberculosis, can cause red-orange discoloration of body fluids (including tears, saliva, and urine), and can typically discolor contact lenses.
D. Directly observed therapy (DOT) is a recommended strategy for tuberculosis treatment to ensure medication adherence. Having someone observe the client taking their medication helps to confirm compliance and reduces the risk of non- adherence.
E. This statement is incorrect because alcohol consumption can interact with some tuberculosis medications, leading to potential liver toxicity or reducing the effectiveness of the drugs.
F. This statement demonstrates an understanding of the importance of informing the healthcare provider about any new medications. It's crucial to avoid potential interactions between tuberculosis medications and other drugs.
G. The Mantoux test is typically not repeated during tuberculosis treatment unless there is a specific clinical indication, such as an initial negative test with ongoing symptoms or exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The palms of the hands are less reliable for detecting jaundice in dark-skinned individuals because the yellow tint may not be as visible against the darker pigmentation.
B. Jaundice is characterized by the yellowing of the skin and eyes due to high levels of bilirubin in the blood. In individuals with dark skin, this yellowing may not be as apparent on the skin itself, making the sclera a more accurate site for assessment.
C. The shoulders are less reliable for detecting jaundice in dark-skinned individuals because the yellow tint may not be as visible against the darker pigmentation.
D. The face is less reliable for detecting jaundice in dark-skinned individuals because the yellow tint may not be as visible against the darker pigmentation.
Correct Answer is C
Explanation
A. While physical therapy may be involved in ALS care for mobility and activities of daily living, they are not the priority for addressing dysphagia.
B. Occupational therapy may be involved in ALS care for mobility and activities of daily living, they are not the priority for addressing dysphagia.
C. Dysphagia in amyotrophic lateral sclerosis (ALS) requires collaboration with a speech-language pathologist to assess swallowing function, recommend safe
feeding techniques, and possibly provide swallowing therapy. Ensuring adequate nutrition and preventing aspiration are crucial aspects of care for clients with ALS and dysphagia.
D. Consulting a dietitian is important for nutritional support, but ensuring safe swallowing takes precedence.
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