The nurse reviews the client's test results.
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
Pyrazinamide
Contact precautions
Monthly TB skin test for 1 year
Ethambutol
Isoniazid
Airborne precautions
Rifampin
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}
Anticipated:
- Pyrazinamide: This is a first-line anti-tuberculosis medication used in combination therapy to treat active TB. It helps shorten treatment duration and targets intracellular bacteria.
- Contact precautions: TB is transmitted via airborne droplets, requiring airborne precautions instead. However, contact precautions can still be implemented in addition to airborne precautions.
- Ethambutol: This medication is used to prevent resistance and is part of the standard four-drug regimen for active tuberculosis.
- Isoniazid: A core component of TB treatment, isoniazid is effective against actively dividing Mycobacterium tuberculosis. It is typically given for at least 6 months.
- Airborne precautions: TB is transmitted through airborne droplets, necessitating airborne precautions such as an N95 mask, negative-pressure isolation, and limiting client transport.
- Rifampin: Another first-line anti-tuberculosis drug, rifampin works by inhibiting bacterial RNA synthesis and is a crucial part of combination therapy for TB.
Contraindicated:
- Monthly TB skin test for 1 year: Once TB is confirmed via sputum culture and chest x-ray, repeated skin testing is unnecessary and would not provide additional diagnostic value.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Understands that everyone dies eventually." Preschoolers typically do not have a comprehensive understanding of the concept of death and its universality. Their grasp of death is often more concrete, focusing on the specific situation rather than a general concept.
B. "Expresses curiosity about the funeral service." While some preschoolers may show curiosity about the funeral service, many might find the concept of a funeral confusing. Their understanding of death is often limited, and they may not ask questions about such abstract concepts.
C. "Believes the death is punishment for bad behavior." Preschoolers often have egocentric thinking and may associate events with their own actions, leading them to believe that a parent's death is a form of punishment for their behavior. This is a common response in this age group as they struggle to comprehend death and its causes.
D. "Recognizes the parent will never wake up." Preschoolers typically do not fully grasp the permanence of death. They may believe that the deceased parent will wake up or return, reflecting their limited understanding of the finality of death.
Correct Answer is B
Explanation
A. "Sit on the edge of the bed while I tap your knee." The patellar reflex, also known as the knee-jerk reflex, is tested by tapping the patellar tendon while the client’s leg dangles. This does not assess the Babinski reflex, which involves stroking the sole of the foot.
B. "Lie down and I will stroke the bottom of your foot." The Babinski reflex is tested by stroking the lateral aspect of the sole from heel to toe. A normal response in adults is toe flexion, while dorsiflexion of the great toe with fanning of the others is abnormal and indicates neurological dysfunction.
C. "Place your foot in my hand and I will tap the back of your heel." This describes testing for the Achilles tendon reflex, which assesses the function of the S1 spinal nerve. The Babinski reflex requires a stroking motion along the foot’s sole rather than tapping the heel.
D. "Relax your arm across your chest and I will test your elbow extension." This describes testing the triceps reflex, which assesses the function of the C6-C7 nerve roots. The Babinski reflex is specific to neurological assessment of the lower extremities.
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