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 ["B","D","E","G"]
Explanation
A. "Your baby will require Apgar scoring every 10 minutes after birth." Apgar scores are assessed at 1 and 5 minutes after birth. Additional assessments are only performed if there are concerns about the newborn’s condition, not at 10-minute intervals.
B. "Your baby's decelerations on the monitor could be caused by your positioning." Late decelerations were noted at 1530, which may indicate uteroplacental insufficiency. Maternal positioning can contribute to decelerations by compressing the umbilical cord or reducing placental perfusion. Repositioning, oxygen administration, and IV fluid boluses may help improve fetal oxygenation.
C. "You should receive betamethasone prior to delivery." Betamethasone is used to enhance fetal lung maturity in preterm labor before 34 weeks of gestation. Since this client is at 37 weeks, betamethasone is not needed.
D. "You will begin pushing when you have dilated more." The client is currently at 9 cm dilation, which is the transition phase of labor. Pushing should not begin until full cervical dilation at 10 cm to prevent cervical trauma and ensure effective labor progression.
E. “I will be monitoring your temperature closely." The client has ruptured membranes, which increases the risk of infection (chorioamnionitis). Frequent temperature monitoring is essential to detect early signs of infection.
F. "During this stage of your labor, you're not allowed to receive pain medication." Pain management options are available at all stages of labor. IV opioids may be avoided close to delivery to prevent neonatal respiratory depression, but epidural anesthesia can still be maintained.
G. "You can have some ice chips, if you would like." Clear fluids and ice chips are generally allowed during labor to help maintain hydration unless there is a contraindication, such as the need for an emergent cesarean under general anesthesia.
Correct Answer is D
Explanation
A. "Turn on fans in the facility to circulate air." Fans should not be turned on during a chemical disaster because they can spread contaminants throughout the facility, increasing exposure to toxic substances.
B. "Open the fireplace dampers in the day room." Opening fireplace dampers can allow contaminated air to enter the facility, increasing the risk of exposure. Sealing off potential entry points for hazardous chemicals is a priority in these situations.
C. "Cover the electrical outlets with wet towels." While sealing gaps and vents can help reduce chemical exposure, using wet towels over electrical outlets is not an effective protective measure. Instead, doors, windows, and ventilation systems should be sealed as much as possible to prevent outside air from entering.
D. "Move clients to a room above ground with few windows." In an external chemical disaster, sheltering in place is essential. A room above ground is preferable because many chemicals are heavier than air and can accumulate in lower levels. Selecting a space with few windows helps minimize exposure by reducing potential entry points for contaminants.
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