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 negative sputum culture.
The client tests negative for HIV.
The client's liver function test results are within the expected reference range.
The client has a positive purified protein derivative test
The Correct Answer is A
A. The client has a negative sputum culture.
When a client with tuberculosis is adhering to the prescribed medication regimen, their sputum cultures should show a decrease in the number of Mycobacterium tuberculosis bacteria. This indicates that the medication is effectively treating the infection. It's important for clients with tuberculosis to complete their full course of treatment to prevent drug-resistant strains of the bacteria from developing.
B. The client tests negative for HIV: This relates to a different infection (HIV) and doesn't necessarily reflect adherence to the tuberculosis medication regimen.
C. The client's liver function test results are within the expected reference range: While liver function tests are important to monitor due to potential medication side effects, they don't directly indicate medication adherence.
D. The client has a positive purified protein derivative (PPD) test: A positive PPD test indicates exposure to the tuberculosis bacteria in the past but does not reflect current adherence to treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Taking an HMG CoA reductase inhibitor (commonly known as statins) is not directly associated with digoxin toxicity. Statins are used to lower cholesterol levels.
B. Having a 10-year history of COPD (chronic obstructive pulmonary disease) is not directly linked to an increased risk of digoxin toxicity.
C. Having a prolapsed mitral valve is a valvular disorder and is not a primary factor that contributes to digoxin toxicity.
D. Taking a high-ceiling diuretic
The factor that predisposes the client to develop digoxin toxicity is taking a high-ceiling diuretic.
Digoxin toxicity can be influenced by several factors. One important factor is the levels of potassium in the blood. High-ceiling diuretics, also known as loop diuretics (e.g., furosemide), can lead to potassium loss through increased urinary excretion. Low levels of potassium (hypokalemia) can increase the risk of digoxin toxicity, as digoxin has a greater effect on the heart when potassium levels are low.
Correct Answer is B
Explanation
A. Warmer skin:
Correct Answer: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism, including Graves' disease, can lead to an overactive metabolism, which can cause the person to feel unusually warm. Methimazole helps reduce the production of thyroid hormones, which can lead to a decrease in the metabolic rate and result in the client feeling less warm.
B. Increased sleeping:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can cause insomnia or difficulty sleeping due to the increased metabolic rate and heightened levels of thyroid hormones. As methimazole helps normalize thyroid hormone levels, improved sleep patterns can be observed in clients with Graves' disease.
C. Increase in pulse rate:
Incorrect Explanation: An increase in pulse rate is not the expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can lead to an elevated resting heart rate due to increased thyroid hormone levels stimulating the cardiovascular system. Methimazole is used to help bring thyroid hormone levels back to normal, which should lead to a reduction in the pulse rate over time.
D. Weight loss:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Weight loss is a common symptom of hyperthyroidism due to the increased metabolic rate. Methimazole helps lower thyroid hormone levels, which can result in a decreased metabolic rate and gradual weight stabilization.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today