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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."

Answer and Explanation

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.

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Naxlex Comprehensive Predictor Exams

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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.

A. Oxygen saturation level B. Tremors C. Current level of consciousness D. Heart rate E. Chronic health condition F. Respiratory rate

Correct Answer is ["A","B","F"]

Explanation

A. Oxygen saturation level: The client is restless, not following commands, and has labored respirations with crackles and wheezes in the breath sounds. Monitoring the oxygen saturation level is essential to assess the client's respiratory status and oxygenation.
B. Tremors: The client has tremors in their hands. Considering the client's history of Parkinson's disease, changes in tremors should be monitored and addressed promptly.
C. The immediate concern is addressing the respiratory distress.
D. Heart rate may also be monitored, but it's not as critical in this context.
E. Chronic health conditions are relevant for the overall care plan, but they do not require immediate intervention as compared to respiratory and tremor issues.
F. Respiratory rate: The client has labored respirations and abnormal breath sounds (crackles and wheezes). Monitoring the respiratory rate is important to evaluate the client's breathing pattern and respiratory distress.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who delivered a newborn by cesarean birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

Correct Answer is ["A","B","F"]

Explanation

A nurse is performing nasopharyngeal suctioning for an adult client. Which of the following techniques should the nurse use?

A nurse is reviewing client confidentiality with other staff members. The nurse should identify which of the following actions is an example of protecting client confidentiality.

A nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selections by the client demonstrates an understanding of the teaching?

A nurse is preparing to test a client's plantar Babinski reflex. Which of the following Instructions should the nurse give to prepare the client for this test?

A nurse is reinforcing teaching with a client about the use of budesonide for asthma management. Which of the following statements by the adolescent indicates an understanding of the teaching?

A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?

A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?

A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr. PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this client care incident?