A nurse is teaching a client who has active pulmonary tuberculosis about the management of medication for the disease. Which of the following statements is appropriate for the nurse to make?
"You should report monthly to have your blood drawn to monitor kidney function while taking medication."
"You will need to take two or more medications to treat your disease."
"You should anticipate taking medication to treat your disease for at least the next 3 years."
"You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."
The Correct Answer is B
Choice A rationale: While monitoring kidney function might be necessary for some medications, it's not a routine monitoring requirement for tuberculosis medication.
Choice B rationale: Treatment for active pulmonary tuberculosis typically involves combination therapy with multiple medications to effectively target the bacteria and prevent resistance.
Choice C rationale: The duration of tuberculosis treatment varies but typically ranges from 6 to 9 months, not 3 years.
Choice D rationale: Tuberculin skin tests are used for diagnosis and not typically for monitoring treatment progress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Recurrent headaches might indicate the need for acetaminophen rather than warranting a provider notification.
Choice B rationale: Low blood pressure (BP 92/60 mm Hg) is not a contraindication for acetaminophen use.
Choice C rationale: Hypothyroidism might not directly impact the administration of acetaminophen.
Choice D rationale: Acetaminophen is metabolized by the liver and can cause hepatotoxicity in high doses or in clients who have liver impairment. A history of alcohol use disorder can indicate chronic liver damage and increase the risk of adverse effects from acetaminophen. Therefore, the nurse should notify the provider before administering the medication to this client.
Correct Answer is C
Explanation
Choice A rationale: Flumazenil is a benzodiazepine receptor antagonist used for benzodiazepine overdose, not hypermagnesemia.
Choice B rationale: Acetylcysteine is used in acetaminophen overdose, not for hypermagnesemia.
Choice C rationale: Calcium gluconate is often used to counteract the effects of hypermagnesemia by antagonizing the actions of excess magnesium.
Choice D rationale: Protamine sulfate is used to reverse the effects of heparin, not for hypermagnesemia.
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