A nurse is planning care for a client who is returning to the unit following open gastric bypass surgery. Which of the following interventions should the nurse include in the client's plan of care?

A. Limiting intake of dairy products may not directly address stomatitis unless the client has an intolerance or allergy to dairy.
B. Using a soft-bristle toothbrush helps prevent trauma to the oral mucosa, which can exacerbate stomatitis. Gentle oral care with a soft toothbrush after meals helps maintain oral hygiene without causing further irritation.
C. Moistening lips with lemon-glycerin swabs may further irritate the oral mucosa due to the acidic nature of lemon.
D. Gargling with an alcohol-based mouthwash can exacerbate stomatitis and should be avoided due to its drying effect on oral tissues.

A. Since the sputum culture is positive for M. tuberculosis, contact precautions are necessary to prevent the spread of the infection to others. These precautions include wearing gloves and a gown when in contact with the client or their environment.
B. Ethambutol is one of the first-line medications used in the treatment of tuberculosis (TB). It works by inhibiting the growth of TB bacteria, thereby helping to eliminate the infection.
C. A monthly TB skin test is not a standard part of treatment for a patient with active TB and is therefore contraindicated.
D. Isoniazid is another first-line medication used in the treatment of TB. It works by killing the TB bacteria and is often used in combination with other medications to treat active TB infection.
E. Since the sputum culture is positive for M. tuberculosis, airborne precautions are necessary to prevent the transmission of TB via airborne droplets. These precautions include wearing an N95 respirator mask and placing the client in a negative-pressure isolation room.
F. Pyrazinamide is part of the standard multidrug regimen used to treat TB. It works by killing the TB bacteria in different stages of their life cycle, helping to eradicate the infection more effectively.
G. Rifampin is another essential medication used in the treatment of TB. It works by inhibiting the synthesis of bacterial RNA, thereby killing the TB bacteria. Rifampin is usually given in combination with other TB medications to prevent drug resistance.