A 72-year-old patient with TB is undergoing standard treatment in a health care facility.
Which ongoing assessment would the nurse complete?

Monitoring for the appearance of adverse reactions.

Monitoring the patient's vital signs every 24 hours.

Assessing the patient's history of contacts.

Use DOT to administer the drug to the patient.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Monitoring for the appearance of adverse reactions is a crucial aspect of managing a patient with TB undergoing treatment. TB medications can have side effects, and early detection of adverse reactions is essential for timely intervention. Some common adverse effects of TB drugs include hepatotoxicity, peripheral neuropathy, and gastrointestinal disturbances. By closely monitoring the patient, the nurse can ensure prompt action if these side effects occur, improving the patient's overall care and safety.

Choice B rationale:

Monitoring the patient's vital signs every 24 hours may be part of standard nursing care, but when managing a patient with TB, the primary focus should be on monitoring for adverse reactions to the TB medications. Vital signs are important but not the most critical aspect of care in this specific situation.

Choice C rationale:

Assessing the patient's history of contacts is essential for identifying potential sources of TB transmission. However, it is more related to the initial assessment and diagnosis of TB rather than ongoing assessment during treatment. The primary focus during treatment is monitoring the patient's response to medication and any adverse reactions.

Choice D rationale:

Using Directly Observed Therapy (DOT) to administer TB drugs is a standard practice to ensure treatment adherence. However, ongoing assessment should focus on monitoring for adverse reactions and treatment effectiveness rather than the administration method, which is usually established at the beginning of treatment.

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Correct Answer is A

Explanation

A. Pseudomembranous colitis. B. Type 1 diabetes. C. Liver disease. D. Renal Disease.

Correct Answer is A

Explanation

Choice A rationale:

Pseudomembranous colitis Pseudomembranous colitis is a severe inflammation of the colon that can be caused by the overgrowth of Clostridium difficile, often associated with antibiotic use. Antidiarrheal drugs should not be administered in cases of infectious diarrhea, as they can worsen the condition. The nurse should be alert to this contraindication to avoid potential harm to the client.

Choice B rationale:

Type 1 diabetes Type 1 diabetes is not typically a contraindication for antidiarrheal drug use. However, it is essential to consider the overall health of the client and the potential causes of their diarrhea. In some cases, diabetes-related issues could be relevant, but it is not a direct contraindication for antidiarrheal drugs.

Choice C rationale:

Liver disease Liver disease is not a direct contraindication for antidiarrheal drug use. While the liver plays a role in drug metabolism, antidiarrheal drugs primarily affect the gastrointestinal system and do not directly harm the liver. However, individual patient factors and liver function should be considered.

Choice D rationale:

Renal Disease Renal disease is not typically a contraindication for antidiarrheal drug use. These drugs primarily affect the gastrointestinal system and do not have a direct impact on the kidneys. However, in patients with severe renal disease, it is essential to consider their overall health and the potential causes of their diarrhea.

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A 72-year-old patient with TB is undergoing standard treatment in a health care facility.Which ongoing assessment would the nurse complete?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following would the nurse emphasize when teaching the client and family about measures to prevent reinfection and the transmission of a parasitic infection to others?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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A 72-year-old patient with TB is undergoing standard treatment in a health care facility.
Which ongoing assessment would the nurse complete?