A nurse is providing discharge instructions to a client with active tuberculosis (TB) who will continue treatment at home. The client asks about the need for isolation. What should the nurse advise?
"You should isolate yourself from family members and avoid any close contact."
"Isolation is not necessary as long as you take your medication as prescribed."
"You can return to your normal activities and interactions; isolation is not required."
"Isolation is needed for the first week of treatment, but after that, you can resume normal activities."
The Correct Answer is C
A) Incorrect. Isolating from family members and avoiding close contact is not typically necessary for clients with active TB who are on appropriate treatment.
B) Incorrect. While medication adherence is crucial, isolation is not a requirement for clients with active TB on treatment.
C) Correct. Clients with active TB who are on appropriate treatment and have had a reduction in infectiousness can generally return to their normal activities and interactions without isolation.
D) Incorrect. Isolation is not typically needed during TB treatment, as clients can resume their normal activities once their infectiousness has decreased.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. While coughing up blood can occur in TB, it should not be considered common and should always be evaluated.
B) Incorrect. Coughing up blood should prompt evaluation and treatment but does not necessarily require immediate hospitalization.
C) Incorrect. Coughing up blood is a concerning symptom that should not be dismissed as unrelated to TB.
D) Correct. Coughing up blood (hemoptysis) is a possible symptom of TB and should be reported to a healthcare provider for further assessment and management.
Correct Answer is C
Explanation
A) Incorrect. It is not recommended to skip doses, but if the client experiences side effects, they should inform their healthcare provider rather than discontinuing treatment without guidance.
B) Incorrect. TB treatment must be completed in its entirety, even if the client starts to feel better. Stopping treatment prematurely can lead to drug resistance and a relapse of the disease.
C) Correct. Taking medications consistently and for the full duration of treatment is crucial to cure TB and prevent drug resistance.
D) Incorrect. Medications for TB should not be shared with family members or others, as they need individualized treatment and evaluation.
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