A nurse is preparing discharge instructions for a client recently diagnosed with active pulmonary tuberculosis (TB). The client lives in a multigenerational household with three family members and expresses eagerness to return to work at a local daycare center. Which teaching point is most important for the nurse to emphasize?

The importance of adhering closely to the prescribed medication regimen

The client should wear a surgical mask in public for a year following diagnosis due to latent TB

The client may return to work once symptoms improve and they feel well enough.

Household members should begin prophylactic antibiotic treatment immediately

Answer and Explanation

The Correct Answer is A

A. The importance of adhering closely to the prescribed medication regimen: Active TB requires long-term multidrug therapy, and adherence is crucial to prevent relapse, ongoing transmission, and development of multidrug-resistant TB. Incomplete treatment is a major public health risk.

B. The client should wear a surgical mask in public for a year following diagnosis due to latent TB: Clients with latent TB are not contagious, and mask use for an entire year is unnecessary. Mask use is important only during the initial infectious phase of active TB until sputum smears are negative.

C. The client may return to work once symptoms improve and they feel well enough: Symptom improvement does not mean the client is no longer infectious. Return to work is only appropriate when the client has completed adequate therapy and has documented negative sputum cultures.

D. Household members should begin prophylactic antibiotic treatment immediately: Not all household members automatically require prophylaxis. They should first undergo TB testing, and only those with positive results or who are high-risk will be prescribed preventive therapy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Depressive characteristics of schizophrenia: While some atypical antipsychotics may have mood-stabilizing effects, paliperidone is not primarily indicated for treating depressive symptoms. Antidepressants are more effective for depressive features rather than antipsychotic agents.

B. Negative symptoms of schizophrenia only: Paliperidone helps address negative symptoms such as social withdrawal and blunted affect, but it is not limited to these alone. Its mechanism of action also targets positive symptoms, making this option incomplete.

C. Both positive and negative symptoms of schizophrenia: Paliperidone, an atypical antipsychotic, blocks dopamine D2 receptors and serotonin 5-HT2A receptors. This dual action makes it effective for reducing hallucinations and delusions (positive symptoms) as well as improving motivation and affect (negative symptoms).

D. Low serotonin levels: Paliperidone does act on serotonin receptors, but it does not treat “low serotonin levels” as a standalone condition. Instead, the benefit is its balanced effect on both dopamine and serotonin pathways, reducing positive and negative symptoms in schizophrenia.

A. Scattered rhonchi and crackles with an elevated WBC count B. Clubbing of the fingers and polycythemia C. Copious amounts of rust-colored sputum with cyanosis D. Distended neck veins and dependent edema

Correct Answer is B

Explanation

A. Scattered rhonchi and crackles with an elevated WBC count: These findings suggest an acute respiratory infection or pneumonia, not chronic hypoxemia. Elevated WBC count points to infection rather than a long-term adaptation to COPD.

B. Clubbing of the fingers and polycythemia: These are expected in chronic hypoxemia. Clubbing results from prolonged low oxygen levels, while polycythemia develops as the body compensates by producing more red blood cells to increase oxygen-carrying capacity.

C. Copious amounts of rust-colored sputum with cyanosis: Rust-colored sputum is typically associated with bacterial pneumonia, particularly pneumococcal infection, not chronic hypoxemia. Cyanosis may occur, but the sputum description makes this finding less appropriate.

D. Distended neck veins and dependent edema: These findings are consistent with cor pulmonale or right-sided heart failure, a complication of COPD, but they are not the expected baseline findings of chronic hypoxemia itself.

View Question and Answer

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A major advantage of giving the antipsychotic drug Invega/paliperidone is that it is effective against what symptoms?

Correct Answer is C

Explanation

Which of the following assessment findings would be expected in a client with chronic hypoxemia due to chronic obstructive pulmonary disease (COPD)?

Correct Answer is B

Explanation

The nurse is educating a client taking Clozaril/clozapine. Which statement made by the client indicates that the education is effective?

While caring for a client with a chest tube, which nursing assessment would alert the nurse to a possible complication?

When working with a client with a personality disorder, the nurse would expect to find:

The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective?

The nurse is creating a plan of care for a client with schizophrenia. Which nursing intervention will the nurse perform first when caring for this client?

The nurse explains to the client that therapy will be a long process. Which is a realistic outcome for a client with a personality disorder engaging in therapy?

Which assessment finding indicates a tension pneumothorax, a complication of untreated pneumothorax?