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. There must be at least 1 selection in every row. There does not need to be a selection in every column.
Ethambutol
Isoniazid
Airborne precautions
Rifampin
Pyrazinamide
Monthly TB skin test for 1 year
Contact precautions
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"B"}}
• Ethambutol: Ethambutol is part of the standard initial four-drug regimen for active TB. It helps prevent the development of drug resistance while susceptibility results are pending and is routinely anticipated in treatment plans.
• Isoniazid: Isoniazid is a first-line antitubercular medication used to inhibit mycolic acid synthesis in the bacterial cell wall. It is a core component of therapy for active TB and is expected unless contraindicated by liver toxicity.
• Airborne precautions: TB is transmitted via airborne droplet nuclei, requiring airborne isolation to prevent spread. Negative-pressure rooms and appropriate respiratory protection are standard and anticipated nursing interventions.
• Rifampin: Rifampin is another first-line medication that works by inhibiting bacterial RNA synthesis. It is essential for effective TB treatment and is routinely included in combination therapy.
• Pyrazinamide: Pyrazinamide enhances the sterilizing effect of TB treatment during the intensive phase. It is anticipated in early treatment to shorten therapy duration and improve outcomes.
• Monthly TB skin test for 1 year: Once active TB is confirmed, skin testing is no longer useful for monitoring treatment response. The TB skin test detects exposure, not disease activity or resolution, making it inappropriate in this context.
• Contact precautions: TB does not spread through direct contact or contaminated surfaces. Airborne precautions are required instead, so contact precautions alone are insufficient and not indicated for TB management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Assists in finding an economic living arrangement for the client: Arranging housing or financial resources is primarily the role of a social worker, not an occupational therapist.
B. Promotes health by ensuring the client's nutritional needs are met: While occupational therapists may help with adaptive feeding techniques, overall nutrition management is the responsibility of a dietitian or nurse.
C. Provides and adjusts devices to assist the client with daily living activities: Occupational therapists evaluate and provide adaptive equipment, training, and strategies to help clients regain independence in activities such as feeding, dressing, and grooming.
D. Uses heat, massage, and water to treat a client's strength and movement: These interventions are typically performed by a physical therapist, who focuses on improving mobility, strength, and range of motion.
Correct Answer is B
Explanation
A. Protamine sulfate: Protamine sulfate is used to reverse the effects of heparin, not warfarin. Administering it in warfarin toxicity would not effectively counteract the anticoagulant effect and could delay appropriate treatment.
B. Vitamin K: Vitamin K is the antidote for warfarin toxicity. It promotes synthesis of clotting factors II, VII, IX, and X, which are inhibited by warfarin, helping to restore normal coagulation and reduce the risk of bleeding.
C. Calcium gluconate: Calcium gluconate is primarily used to treat hypocalcemia or cardiac effects of hyperkalemia. It does not reverse warfarin-induced anticoagulation and would not address the underlying risk of bleeding.
D. Acetylcysteine: Acetylcysteine is an antidote for acetaminophen toxicity and works by replenishing glutathione. It has no effect on warfarin metabolism or clotting factor synthesis, making it inappropriate for this scenario.
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