A client is prescribed an antidiarrheal drug.
The nurse reviews the client's medical record for possible contraindications for use.
Which of the following would alert the nurse to a possible contraindication?

Choice A rationale:

The initial phase of treatment in tuberculosis management involves the first few weeks of intensive drug therapy when the goal is to reduce the bacterial load and prevent drug resistance. During this phase, the client typically takes multiple medications, but there is no requirement for direct observation by a healthcare provider.

Choice B rationale:

The continuation phase of treatment occurs after the initial phase in tuberculosis management. It focuses on preventing relapse and the complete eradication of the bacteria. During this phase, the client takes fewer medications, but there is no direct observation of medication administration.

Choice C rationale:

Directly observed therapy (DOT) is a strategy used in tuberculosis treatment where a healthcare provider or trained observer directly watches the client take their medications. This is particularly important to ensure adherence and prevent drug resistance. The description in the question aligns with the practice of DOT.

Choice D rationale:

Adherence evaluation refers to assessing how well a client follows their treatment plan, but it doesn't necessarily involve observing medication administration. While adherence evaluation is essential, the scenario described in the question specifically mentions the client demonstrating medication intake in front of a nurse, which corresponds to DOT.

Choice A rationale:

Hypertension is not a medical condition that contraindicates the use of ginger for digestive purposes. Ginger is often considered safe for individuals with hypertension when used in moderation.

Choice B rationale:

Kidney stones are not directly related to the use of ginger for digestion. Ginger is generally safe for consumption, and there is no known link between ginger and the formation of kidney stones.

Choice C rationale:

Vitamin B12 deficiency, while important, is not a condition that specifically contraindicates the use of ginger for digestion. However, individuals with vitamin B12 deficiency may need to address the underlying issue with appropriate treatment.

Choice D rationale:

Before advising the client to take ginger to aid with digestion, the nurse should ensure that the client does not have liver disease. Ginger can impact liver function, and individuals with liver disease may need to avoid or limit its use. This precaution is important to prevent any adverse effects on the liver in vulnerable individuals.