Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Chloasma: Chloasma refers to hyperpigmented patches on the face, often called the "mask of pregnancy." It is a skin change due to hormonal fluctuations and does not involve the coloration of the vagina or vulva.

B. Ballottement: Ballottement is a technique used during a prenatal exam to detect a floating fetus by tapping the cervix, resulting in a rebound sensation. It is not related to changes in vaginal or vulvar color.

C. Chadwick's sign: Chadwick's sign is the bluish-purple discoloration of the cervix, vagina, and vulva that occurs around 6–8 weeks of gestation due to increased vascular congestion. This is the correct documentation for the observed purplish coloration.

D. Hegar's sign: Hegar's sign is the softening of the lower uterine segment, which can be palpated during early pregnancy. It is a physical finding of the uterus, not a visual change of the vaginal or vulvar tissues.

A. "Are you thinking of hurting yourself?" B. "What would your family do without you?" C. "When you get better you will not feel this way” D. "Why would you think a thing like that”

Correct Answer is A

Explanation

A. “Are you thinking of hurting yourself?”: This response directly and calmly assesses for suicidal ideation, which is essential when a client expresses feelings of worthlessness or passive death wishes. Asking clearly about self-harm allows the nurse to determine risk and initiate appropriate safety interventions.

B. “What would your family do without you?”: This response may increase guilt or emotional distress rather than encouraging open communication. It does not assess the client’s immediate safety or suicidal thoughts.

C. “When you get better you will not feel this way.”: This response minimizes the client’s current feelings and may make the client feel unheard or dismissed. It does not address potential suicidal risk or provide emotional support.

D. “Why would you think a thing like that?”: Asking “why” can sound judgmental and may discourage the client from sharing further. It does not assess for suicidal intent and may increase defensiveness or withdrawal.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with a prenatal examination of a client who is at weeks of gestation. The nurse notes that the client's vagina and vulva are a purplish color. The nurse should document this finding as which of the following?

Correct Answer is C

Explanation

A nurse is caring for a client who has depressive disorder. The client states. "Everyone would be better off if I were not around." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who is about to undergo surgery. Which of the following statements about informed consent should the nurse include in the teaching?

A nurse is reinforcing dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?

A nurse is reviewing the laboratory results of a client and finds both their iron and vitamin B levels are below the expected reference range. The nurse should monitor the client for which of the following conditions?

A nurse is assisting with the care of a client Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developingdropdown due todropdown.

A nurse is assisting in the care of a client who presents to the emergency department. A nurse is reviewing the client’s medical record. Which of the following findings indicate the need for further evaluation? Select all that apply.

A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?

A nurse is collecting data from a child who has pertussis. Which of the following manifestations should the nurse expect?

A nurse is evaluating an 8-month-old infant's pain level following the administration of hydrocodone. Which of the following pain scales would the nurse use?

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.