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
Explanation
A. "You will suffer serious health issues if you don't take your medication." While it is important to convey the seriousness of diabetes management, this statement may come across as threatening or coercive. It does not encourage open communication or exploration of the client's feelings about their diagnosis or treatment.
B. "I'd like to hear your thoughts about giving yourself this medication." This response invites the client to express their feelings and concerns about self-administering insulin. It promotes open dialogue and allows the nurse to understand the client’s perspective, fears, or misconceptions, which can help tailor the education and support provided.
C. "Have you considered how your decision to refuse medication will affect your family?" While family considerations can be important, this response may place undue pressure on the client and shift focus away from their personal feelings about their treatment. It does not foster a supportive environment for the client to share their concerns.
D. "Why don't you want to learn how to give yourself your medication?" This question may come across as confrontational or judgmental. Instead of encouraging a collaborative discussion, it might make the client defensive. It’s essential to create a safe space for clients to share their thoughts and feelings.
Correct Answer is A
Explanation
A. Case manager. A case manager assists clients in accessing community resources, including financial assistance programs such as WIC (Women, Infants, and Children) and other social services that provide formula for infants. This referral ensures the client receives the necessary support to meet her baby's nutritional needs.
B. Primary care provider. A primary care provider focuses on the client’s medical care rather than financial or social concerns. While they may provide guidance on infant nutrition, they are not the best resource for addressing the client’s financial difficulties in obtaining formula.
C. Nutritionist. A nutritionist provides dietary guidance but does not handle financial assistance programs. They may educate the client on proper infant feeding, but they cannot directly assist with obtaining formula for a client who cannot afford it.
D. Pediatric nurse practitioner. A pediatric nurse practitioner specializes in infant health but does not typically manage financial concerns. They may assess the baby’s growth and nutritional needs but would refer the client to a case manager or social services for formula assistance.
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