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

Answer and Explanation

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

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Correct Answer is B

Explanation

A. "Your baby is at a higher risk because they have had four bowel movements in the first day of life.": Frequent bowel movements in a newborn typically help excrete bilirubin and reduce the risk of jaundice. Therefore, having multiple stools on the first day is actually protective rather than a risk factor.

B. “This is because your baby's liver is not yet efficient at breaking down red blood cells.”: Newborns naturally have an immature liver that is less efficient at conjugating and excreting bilirubin. This leads to an accumulation of unconjugated bilirubin in the blood, making a serum bilirubin test necessary to monitor for jaundice.

C. "This is because your baby is breastfed. You should start supplementing with formula.": Breastfeeding alone is not a contraindication nor an immediate reason to supplement. Breastfeeding jaundice can occur in some infants, but formula supplementation is not automatically required and should be based on assessment by the provider.

D. “Your baby is at a higher risk because they were born with congenital dermal melanocytosis.”: Congenital dermal melanocytosis (Mongolian spots) is a benign skin pigmentation and does not affect bilirubin metabolism.

A. Explain to the client that anxiety causes physical manifestations B. Minimize environmental stimuli in the client's surroundings. C. Explore behaviors that have helped to reduce the client's anxiety in the past D. Administer an anti-anxiety medication.

Correct Answer is B

Explanation

A. Explain to the client that anxiety causes physical manifestations: While educating the client about the connection between anxiety and physical symptoms is important, it does not immediately reduce the acute distress the client is experiencing.

B. Minimize environmental stimuli in the client's surroundings: Reducing environmental stimuli helps decrease sensory overload and can lower acute anxiety levels. This intervention addresses the client’s immediate physiological and psychological distress, making it the priority action.

C. Explore behaviors that have helped to reduce the client's anxiety in the past: Identifying coping strategies is useful for long-term management, but it does not provide immediate relief during an acute episode of anxiety.

D. Administer an anti-anxiety medication: Pharmacological intervention may be necessary, but non-pharmacological measures to reduce stimuli should be implemented first to provide rapid relief and create a calm environment before medication administration.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with new parents about the provider's prescription for a serum bilirubin test. Which of the following statements should the nurse include in the explanation?

Correct Answer is B

Explanation

A nurse in a mental health facility is caring for a client who reports palpitations and a sense of impending doom. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse on a unit is assisting with the care of a group of clients. Which of the following observations by the nurse requires intervention?

A nurse is collecting data from a client who has hyponatremia. Which of the following findings should the nurse expect?

The nurse is preparing the client for discharge. Which of the following statements indicate the client understands the discharge teaching? Select the 3 client statements that indicate an understanding of the teaching.

A nurse is collecting data from a client who reports recently using cocaine. Which of the following manifestations should the nurse expect?

A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify that which of the following findings increases the client's risk for injury?

A nurse is assisting in the care of clients on a postpartum unit. Which of the following events should the nurse identify as needing to initiate a security alert for?

A nurse is assisting in planning care for a 16-year-old client in a pediatric clinic. Which of the following actions would be a breach of confidentiality?

A nurse on a mental health unit is caring for a client who has anorexia nervosa. Which of the following statements by the nurse promotes the ethical principle of client autonomy?

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.