A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
The client has a positive purified protein derivative test.
The client tests negative for HIV.
The client has a negative sputum culture.
The client's liver function test results are within the expected reference range.
The Correct Answer is C
C. Sputum culture is performed to assess the presence of Mycobacterium tuberculosis and to monitor treatment response. A negative sputum culture indicates that the TB bacteria are not detected in the sputum sample, suggesting effective treatment. This outcome is directly related to adherence to TB medications because consistent medication intake is necessary to achieve negative sputum cultures.
A. A positive PPD test indicates exposure to the TB bacteria, not necessarily adherence to the medication regimen. The PPD test detects the immune response to TB infection but does not provide information about treatment adherence or effectiveness of TB medications.
B. HIV testing is important for clients with TB due to the increased risk of co-infection. However, it does not directly indicate adherence to TB medication.
D. Isoniazid and rifampin can potentially cause liver toxicity, so monitoring liver function tests (LFTs) is important during TB treatment. While normal LFT results are important for monitoring medication side effects, they do not specifically indicate adherence to the medication regimen. Adherence is best assessed through clinical outcomes related to TB treatment efficacy, such as sputum culture results.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. This statement demonstrates an understanding of the monitoring requirement for theophylline therapy. Blood levels are typically checked to adjust the dosage and ensure that the medication is within the therapeutic range.
A. Taking theophylline with coffee is not recommended due to the potential interaction. Therefore, this statement indicates a misunderstanding of the teaching.
B. Fluid intake does not need to be restricted while taking theophylline. In fact, adequate hydration is generally recommended unless otherwise specified for other medical reasons.
D. Sprinkling theophylline sustained-release capsules in applesauce is not recommended. Clients should take the medication whole, without crushing or altering the capsule, to ensure proper absorption and effectiveness.
Correct Answer is C
Explanation
C Clopidogrel can affect platelet function, which may lead to increased susceptibility to bruising or bleeding. Clients taking clopidogrel should be advised to monitor for unexplained bruising, bleeding gums, or prolonged bleeding from minor cuts and to promptly report these symptoms to their healthcare provider.
A. Clopidogrel primarily affects platelet function and is unlikely to cause visual disturbances. Therefore, blurred vision is not a significant concern with this medication.
B. Clopidogrel does not affect gastrointestinal motility or function in a way that would lead to constipation. Therefore, constipation is not expected as a side effect of this medication.
D. Clopidogrel does not typically affect metabolism or appetite in a way that would cause weight loss. Therefore, weight loss is not an expected side effect of this medication.
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