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 {"dropdown-group-1":"C","dropdown-group-2":"C"}
Explanation
Rationale:
Serotonin syndrome is a serious drug reaction that results from having too much serotonin in the body. Serotonin is a chemical that plays a role in mood, sleep, appetite and other functions. Some medications, especially antidepressants, can increase serotonin levels and cause serotonin syndrome. The client is taking paroxetine, which is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). SSRIs work by blocking the reabsorption of serotonin in the brain, making more serotonin available.
Paroxetine can cause serotonin syndrome if taken at high doses, in combination with other serotonergic drugs, or if abruptly stopped. The client’s symptoms of restlessness, abdominal pain, disorientation and fever are consistent with serotonin syndrome. Other possible symptoms include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, muscle twitching, rigidity, sweating and shivering. Severe serotonin syndrome can lead to seizures, coma and death. The client should stop taking paroxetine and seek immediate medical attention. Serotonin syndrome can be treated with supportive care and medications that reduce serotonin levels or block its effects. The client may need to switch to a different antidepressant or adjust the dosage under the guidance of their provider.
Correct Answer is []
Explanation
Condition Most Likely Experiencing:
The client's admission to the behavioral health unit for prolonged weight loss and refusal to eat suggests a significant disordered eating pattern. The client's weight of 37.2 kg (82 lb) and BMI of 15 fall significantly below the healthy range for their height, indicating severe underweight status characteristic of anorexia nervosa. The client's behaviors during meal times, such as pushing food around the plate, eating only a small percentage of meals and snacks, and expressing anxiety about eating in front of others, are consistent with the restrictive eating patterns and fear of weight gain seen in anorexia nervosa.
Physical signs such as dry and flaky skin, dry and chapped lips, thin and dull hair, dry buccal mucosa, diminished bowel sounds, swollen and bloated abdomen, and lanugo (fine, downy hair) are commonly associated with anorexia nervosa due to malnutrition and starvation. The client's reported feelings of depression, initiation of dieting due to feeling fat compared to others, and cessation of menstrual cycles for the past 3 months are all indicative of the psychological and emotional distress often seen in individuals with anorexia nervosa.
Actions to take:
Clients with anorexia nervosa often benefit from a structured meal plan to promote regular eating habits and prevent skipping meals.
Focusing on the client’s underlying feelings of dysphoria and lack of control can help the client develop a more positive self-image and cope with emotional stressors that may trigger their eating disorder.
Parameters to monitor:
Monitoring weight is essential in assessing nutritional status and tracking changes in body composition, especially in clients with anorexia nervosa who may experience rapid weight loss.
Cardiac function with ECG can help the nurse detect any signs of cardiac arrhythmias, bradycardia, hypotension, or electrolyte imbalances that may result from severe malnutrition and dehydration.
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