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 B
Explanation
A. This image shows Heberden's and Bouchard's nodes, which are bony enlargements of the finger joints typically associated with Osteoarthritis.
B. This image clearly shows the loss of the normal angle between the nail and the nail bed (Lovibond angle). The fingertips appear enlarged and "drumstick-like," and the nails have a distinct downward, convex curvature.
C. This image displays Ulnar Drift (the fingers slanting toward the pinky side) and joint swelling, which are classic manifestations of Rheumatoid Arthritis. It also shows age-related lentigines (liver spots) on the skin.
Correct Answer is D
Explanation
A. 32 lb: A weight gain of 32 lb exceeds the recommended range for a client with a prepregnancy BMI ≥30 (obese). Excessive weight gain increases the risk of gestational diabetes, hypertension, and complications during delivery. Staying within guideline ranges supports maternal and fetal health.
B. 8 lb: A gain of 8 lb is below the recommended range and may indicate inadequate nutrition, which can compromise fetal growth and development. Clients with obesity are advised to gain more than this to support a healthy pregnancy while avoiding excessive weight.
C. 24 lb: A gain of 24 lb slightly exceeds the recommended range for obese clients. While less risky than very high gains, it may still increase the likelihood of postpartum weight retention and obstetric complications.
D. 16 lb: For a prepregnancy BMI ≥30, the recommended total weight gain is 11–20 lb. A gain of 16 lb falls within this guideline, balancing the needs of fetal growth while minimizing maternal and fetal complications. This makes it the most appropriate target for dietary teaching.
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