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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 A

Explanation

A. Raises all four side rails on the client's bed: Raising all four side rails can create a restraint situation, increasing the risk of entrapment or injury. Current safety guidelines recommend using only two side rails and employing other fall-prevention strategies instead.

B. Locks the wheels on the client's bed: This is a standard safety measure. Locking the wheels ensures the bed does not move when the client attempts to sit up or get out of bed, reducing fall risk. This is an appropriate safety measure for clients at risk for falls.

C. Assists the client to the bathroom every 2 hr: Regularly assisting the client to the bathroom reduces the likelihood of unassisted ambulation, which can prevent falls. Scheduled toileting is a recommended intervention for fall prevention.

D. Clears furniture from the path leading to the bathroom: Removing obstacles ensures a clear walking path and minimizes tripping hazards. Removing environmental hazards, such as clutter, loose rugs, or excess furniture, creates a clear, safe pathway for the client and reduces the risk of tripping.

A. The website URL is listed as com B. The author's name is listed without credentials. C. The author cites references to statements made. D. The website was last updated 3 years ago.

Correct Answer is C

Explanation

A. The website URL is listed as com: A ".com" domain indicates a commercial site and does not guarantee the accuracy or credibility of health information. Commercial sites may have marketing motives that can bias the content.

B. The author's name is listed without credentials: Listing an author without credentials does not provide verification of expertise in the medical field. Credible health information should be authored or reviewed by qualified healthcare professionals.

C. The author cites references to statements made: Providing references to scientific studies or reputable sources demonstrates that the information is evidence-based and allows verification. Cited references indicate that the content is grounded in credible medical research, enhancing trustworthiness.

D. The website was last updated 3 years ago: Health information can become outdated quickly. A last update from several years ago may not reflect current guidelines or best practices, reducing the reliability of the resource.

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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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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.