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The nurse is preparing the client for discharge.

Which of the following statements indicate the client understands the discharge teaching?

Select the 3 client statements that indicate an understanding of the teaching.

"I will need to take my medications for a total of 6 weeks."

“I am no longer contagious."

"I will need to have someone observe me when I take my medication."

"I can expect my contact lenses to turn red or orange,"

"I should notify my provider if I start taking new over-the-counter or prescription medications."

"I can continue my current alcohol intake."

"I will need to have a repeat Mantoux test in 4 weeks."

Answer and Explanation

Correct Answer : C,D,E

A. "I will need to take my medications for a total of 6 weeks.": TB treatment requires a prolonged course, typically 6 months, not 6 weeks. This statement reflects a misunderstanding of the duration of therapy and could lead to incomplete treatment and drug resistance.

B. “I am no longer contagious.": Clients with active tuberculosis remain contagious until they have received adequate treatment and follow-up testing confirms noninfectious status. Early discharge does not automatically mean the client is no longer a transmission risk.

C. "I will need to have someone observe me when I take my medication.": Directly Observed Therapy (DOT) is recommended to ensure adherence to TB medications, which helps prevent drug resistance and treatment failure. Understanding the importance of DOT indicates comprehension of infection control and treatment compliance.

D. "I can expect my contact lenses to turn red or orange.": Rifampin can discolor body fluids, including tears, causing contact lenses to appear red or orange. Recognizing this harmless side effect demonstrates the client’s understanding of medication effects.

E. "I should notify my provider if I start taking new over-the-counter or prescription medications.": TB medications have multiple drug interactions, and the client must inform the provider of any new medications to prevent adverse effects or reduced drug efficacy.

F. "I can continue my current alcohol intake.": Alcohol use is contraindicated with TB medications because it increases the risk of hepatotoxicity, particularly with isoniazid, rifampin, and pyrazinamide. Continuing alcohol would compromise treatment safety.

G. "I will need to have a repeat Mantoux test in 4 weeks.": Follow-up testing is not required once TB is confirmed by sputum culture. The Mantoux test is used for diagnosis, not monitoring treatment response.

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Correct Answer is C

Explanation

A. "This medication will dilate my eyes": Timolol is a beta-blocker used to reduce intraocular pressure in glaucoma. It does not cause pupil dilation; in fact, it does not affect pupil size significantly. Believing it dilates the eyes reflects a misunderstanding of its action.

B. "This medication will darken the color of my eyes": Timolol does not change eye color. Eye color changes are associated with prostaglandin analogs like latanoprost, not beta-blockers. This statement indicates incorrect knowledge about the medication.

C. "I should check my heart rate while taking this medication": Timolol can be absorbed systemically and may decrease heart rate or cause cardiac side effects. Monitoring pulse rate ensures early detection of bradycardia or other cardiovascular effects, demonstrating correct understanding of safety precautions.

D. "I should take a zinc supplement while taking this medication": There is no indication that timolol requires zinc supplementation. Taking unnecessary supplements does not enhance drug efficacy and may introduce additional risks or interactions.

A. Rise slowly from a sitting position to a standing position. B. Decrease daily fluid intake. C. Increase dietary potassium. D. withhold the medication if pulse rate is less than 60/min.

Correct Answer is A

Explanation

A. Rise slowly from a sitting position to a standing position: Enalapril, an ACE inhibitor, can cause orthostatic hypotension, especially when therapy is initiated. Advising the client to rise slowly helps prevent dizziness and syncope related to sudden blood pressure drops.

B. Decrease daily fluid intake: Reducing fluid intake can worsen hypotension and dehydration, increasing the risk of syncope. Maintaining adequate hydration is important unless otherwise instructed by the provider.

C. Increase dietary potassium: While ACE inhibitors can raise potassium levels, the primary concern with syncope is hypotension, not potassium imbalance. Increasing potassium without monitoring could lead to hyperkalemia.

D. Withhold the medication if pulse rate is less than 60/min: Enalapril primarily affects blood pressure, not heart rate. Withholding based on pulse rate is not appropriate; monitoring blood pressure is more relevant for safety and management of side effects.

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The nurse is preparing the client for discharge. Which of the following statements indicate the client understands the discharge teaching? Select the 3 client statements that indicate an understanding of the teaching.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has primary open-angle glaucoma and a new prescription for timolol eye drops. Which of the following statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

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The nurse is preparing the client for discharge.

Which of the following statements indicate the client understands the discharge teaching?

Select the 3 client statements that indicate an understanding of the teaching.