A nurse is discussing the treatment of TB with a patient. Which statement by the patient indicates a need for further education?
"I should take my medications regularly and complete the full course of therapy.”
"I will report any adverse effects of the medications, such as skin rash or eye inflammation.”
"I can stop taking the medications once I start feeling better.”
"I understand that the treatment may require surgery if there is extensive lung damage.”
The Correct Answer is C
Choice A rationale:
"I should take my medications regularly and complete the full course of therapy" is a correct statement. TB treatment involves multiple drugs taken for an extended period, typically 6 to 9 months, to ensure complete eradication of the bacteria and prevent drug resistance.
Choice B rationale:
"I will report any adverse effects of the medications, such as skin rash or eye inflammation" is a correct statement. TB medications can have side effects, and it's crucial for the patient to report any adverse reactions to their healthcare provider for appropriate management.
Choice C rationale:
"I can stop taking the medications once I start feeling better" is an incorrect statement. TB treatment requires completing the full course of therapy, even if the patient's symptoms improve. Stopping treatment prematurely can lead to treatment failure and the development of drug-resistant TB.
Choice D rationale:
"I understand that the treatment may require surgery if there is extensive lung damage" is a correct statement. In some cases of TB, particularly if there is significant lung damage or complications, surgical intervention may be necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The Interferon-gamma release assay (IGRA) is another test used to detect TB infection. It measures the release of interferon-gamma by T-cells in response to TB antigens. However, in this question, the specific test described involves injecting tuberculin into the forearm, which is the characteristic of the TST, not the IGRA.
Choice B rationale:
Chest x-ray is not a test used to detect TB infection directly. It is useful for identifying active pulmonary TB, but it does not detect latent TB infection, which is what the tuberculin skin test is designed for.
Choice C rationale:
Sputum smear microscopy is a test used to diagnose active TB by examining sputum samples for acid-fast bacilli. It is not used for detecting latent TB infection, as the tuberculin skin test does.
Choice D rationale:
The tuberculin skin test (TST), also known as the Mantoux test, involves injecting a small amount of tuberculin into the forearm and then measuring the induration (localized swelling and redness) at the injection site after 48 to 72 hours. A positive TST result indicates exposure to TB but does not distinguish between latent TB infection and active TB disease.
Correct Answer is C
Explanation
Choice A rationale:
"Encouraging rest and avoiding physical activity." This intervention is not the essential one for monitoring the patient's response to TB treatment and identifying complications. While rest is important for recovery, it is not the primary method of monitoring treatment response.
Choice B rationale:
"Administering corticosteroids to prevent complications." Administering corticosteroids is not a standard intervention for all patients with TB undergoing treatment. Corticosteroids may be prescribed in specific cases, such as TB meningitis or pericarditis, to reduce inflammation, but it is not the essential nursing intervention for all TB patients.
Choice C rationale:
"Monitoring vital signs, sputum samples, and laboratory tests." This statement is correct. The essential nursing intervention for monitoring a patient's response to TB treatment and identifying complications is to regularly monitor vital signs, collect sputum samples to check for the presence of acid-fast bacilli (AFB), and conduct laboratory tests, such as complete blood count and liver function tests. These assessments help determine treatment effectiveness and detect any adverse reactions or complications.
Choice D rationale:
"Placing the patient in a negative pressure room." Placing the patient in a negative pressure room is not a nursing intervention for monitoring treatment response or identifying complications. Negative pressure rooms are used to prevent the spread of airborne infectious agents, but they are not directly related to treatment monitoring.
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