The nurse is teaching a client about possible adverse reactions that can occur with tetracyclines.
The nurse determines that the teaching was successful when the client identifies which of the following?

Choice A rationale:

Influenza vaccine is not contraindicated during pregnancy. In fact, the influenza vaccine is recommended for pregnant women because they are at higher risk of complications from influenza. It can protect both the pregnant woman and her baby from the flu.

Choice B rationale:

Tetanus vaccine is not contraindicated during pregnancy. In fact, tetanus vaccination during pregnancy is essential to protect both the mother and the newborn. Tetanus can be life-threatening, and vaccination is a preventive measure.

Choice C rationale:

Rhogam is contraindicated during pregnancy if the mother is Rh-negative and the baby is also Rh-negative. Rhogam is given to Rh-negative mothers to prevent sensitization to Rh-positive blood in case of fetal-maternal bleeding. If both the mother and baby are Rh-negative, there's no need for Rhogam during pregnancy.

Choice D rationale:

MMR (Measles, Mumps, Rubella) vaccine is contraindicated during pregnancy. It contains live attenuated viruses and is generally not recommended for pregnant women due to the theoretical risk of transmitting the virus to the developing fetus. It's typically given postpartum if the woman is not already immune to these diseases.

Choice A rationale:

Monitoring for the appearance of adverse reactions is a crucial aspect of managing a patient with TB undergoing treatment. TB medications can have side effects, and early detection of adverse reactions is essential for timely intervention. Some common adverse effects of TB drugs include hepatotoxicity, peripheral neuropathy, and gastrointestinal disturbances. By closely monitoring the patient, the nurse can ensure prompt action if these side effects occur, improving the patient's overall care and safety.

Choice B rationale:

Monitoring the patient's vital signs every 24 hours may be part of standard nursing care, but when managing a patient with TB, the primary focus should be on monitoring for adverse reactions to the TB medications. Vital signs are important but not the most critical aspect of care in this specific situation.

Choice C rationale:

Assessing the patient's history of contacts is essential for identifying potential sources of TB transmission. However, it is more related to the initial assessment and diagnosis of TB rather than ongoing assessment during treatment. The primary focus during treatment is monitoring the patient's response to medication and any adverse reactions.

Choice D rationale:

Using Directly Observed Therapy (DOT) to administer TB drugs is a standard practice to ensure treatment adherence. However, ongoing assessment should focus on monitoring for adverse reactions and treatment effectiveness rather than the administration method, which is usually established at the beginning of treatment.