A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

Conversion of the client's PPD test from negative to positive

History of intravenous drug abuse

Current diagnosis of hepatitis B

Length of time of exposure to tuberculosis

Answer and Explanation

The Correct Answer is C

A. Conversion of the PPD test from negative to positive indicates exposure to tuberculosis but does not contraindicate the administration of isoniazid. It may actually indicate the need for prophylactic treatment.

B. A history of intravenous drug abuse is not directly related to the administration of isoniazid. However, it may be important for assessing risk factors for tuberculosis transmission and adherence to treatment.

C. Isoniazid can cause hepatotoxicity, so it is essential to assess for pre-existing liver conditions such as hepatitis B before administering the medication. Hepatitis B may increase the risk of liver damage associated with isoniazid.

D. The length of time of exposure to tuberculosis is important for assessing the risk of infection and determining the need for prophylactic treatment but does not impact the administration of isoniazid.

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Correct Answer is D

Explanation

- A: Nitroglycerin is contraindicated with tadalafil due to the risk of severe hypotension. Advising the client to take nitroglycerin could lead to a dangerous drop in blood pressure.
- B: While it is important to monitor for serious side effects, immediate emergency department care may not be necessary if the client is not experiencing chest pain or other severe symptoms.
- C: Increasing oral fluids does not address the underlying cause of the skin flushing and is not a recommended action for this symptom in relation to tadalafil use.
- D: Skin flushing is a common side effect of tadalafil and is usually self-limiting. Reassuring the client about the nature of this side effect is appropriate, as long as the client is not experiencing chest pain or other severe symptoms related to his history of stable angina.

A. Secure chest tube to the stretcher for transport. B. Administer PRN pain medication prior to transport. C. Mark the amount of chest drainage on the container. D. Keep chest tube container below the site of Insertion.

Correct Answer is D

Explanation

A. Securing the chest tube to the stretcher is important, but not as critical as keeping the chest tube container below the site of insertion to prevent backflow of fluids.

B. Administering PRN pain medication is important for comfort but is not the priority during urgent transport.

C. Marking the amount of chest drainage is part of ongoing monitoring and does not take precedence over the correct positioning of the chest tube container.

D. Keeping the chest tube container below the site of insertion ensures proper drainage by gravity and prevents complications such as tension pneumothorax.

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A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

Correct Answer is D

Explanation

A client is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in level of consciousness. The client is orally intubated and has a left lateral chest tube to 20 cm suction. Which action is most important for the take?

Correct Answer is D

Explanation

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