The nurse is preparing the client for discharge. Provider Prescriptions:
Ethambutol 1,200 mg PO daily Rifampin 600 mg PO daily Isoniazid 300 mg PO daily Pyrazinamide 1,600 mg PO daily
Acetaminophen 650 mg PO three times daily every 6 hr PRN for fever greater than 38°C (100.4°F).
Discharge prescriptions, 0800:
Ethambutol 1,200 mg PO daily Rifampin 600 mg PO daily Isoniazid 300 mg PO daily Pyrazinamide 1,600 mg PO daily
Which of the following statements indicates the client understands the discharge teaching?
Select the 3 client statements that indicate an understanding of the teaching.
"I can expect my contact lenses to turn red or orange."
"I will need to have a repeat Mantoux test in 4 weeks."
"I should notify my provider if I start taking new over-the-counter or prescription medications."
"I am no longer contagious."
"I will need to take my medications for a total of 6 weeks."
"I will need to have someone observe me when I take my medication."
"I can continue my current alcohol intake."
Correct Answer : B,C,E
B: A repeat Mantoux test is commonly performed to monitor the effectiveness of tuberculosis treatment. It's important for the client to understand the need for follow-up testing.
C: Interactions between tuberculosis medications and other medications can occur. The client's understanding of the importance of notifying the provider about new medications helps ensure their safety and treatment effectiveness.
E: Tuberculosis treatment typically involves a combination of medications taken for a specific duration. Understanding the duration of treatment is important for the client's compliance and successful outcome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
The nurse should include the following information in the community health program for caregivers of clients with Alzheimer's disease:
Use written signs to assist the client with locating the bathroom: People with Alzheimer's disease often experience cognitive decline, including difficulties with memory and orientation.
Using written signs can help them navigate their environment and find essential areas like the bathroom. Clear signage with simple and easily recognizable symbols or words can be beneficial in reducing confusion and promoting independence.
Limit the number of choices for the client: Decision-making can become overwhelming for individuals with Alzheimer's disease. Providing too many options can lead to confusion, frustration, and decision paralysis. Caregivers should simplify choices and present them one at a time to reduce cognitive burden. For example, instead of asking what the person wants to eat from a variety of options, present a limited selection of two or three choices to make the decision-making process easier.
Provide a stimulating environment for the client: Engagement in meaningful activities and a stimulating environment can help maintain cognitive function and improve the quality of life for individuals with Alzheimer's disease. Caregivers should create a safe and enriching environment that includes activities tailored to the person's abilities and interests. This can involve puzzles, music, art, reminiscing, and other activities that promote mental and social engagement.
Do not use confrontation to manage the client's behavior: Confrontation can escalate agitation, anxiety, and confusion in individuals with Alzheimer's disease. It is important for caregivers to use non-confrontational approaches when managing challenging behaviors. Strategies such as redirection, validation, empathy, and gentle persuasion are more effective in de-escalating difficult situations and promoting a calm and supportive environment.
Correct Answer is B
Explanation
A. Patterned-paced breathing might help with pain management, but it's not specific to changing positions.
B. Correct. Splinting the incision with a pillow provides support and reduces strain when changing positions, minimizing discomfort.
C. Counterpressure to the back might be helpful during contractions, but it's not specific to postoperative pain with position changes.
D. While reducing position changes might be initially suggested, it's important for postoperative clients to move to prevent complications like deep vein thrombosis. Providing strategies to manage pain during position changes is more appropriate.
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