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.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale: The nurse should not titrate TPN solution to blood pressure, as this can cause hypotension or hypertension.
Choice B rationale: The nurse should use an infusion pump to regulate the flow rate of TPN solution, not hang it to gravity, as this can cause over-infusion or under-infusion.
Choice C rationale: TPN is a form of nutrition that is delivered intravenously and provides all the essential nutrients for the client. TPN can cause fluid and electrolyte imbalances, infection, and hyperglycemia. Therefore, the nurse should monitor the client's weight daily to assess for fluid retention or loss, which can indicate overhydration or dehydration.
Choice D rationale: The nurse should also monitor the client's blood glucose level every 4 to 6 hours, not weekly, to detect and prevent hyperglycemia.
Correct Answer is B
Explanation
Choice A rationale: Massaging the site might increase bleeding or cause irritation after subcutaneous injection.
Choice B rationale: Grasping the skin between the thumb and forefinger throughout the injection helps to stabilize the tissue and minimize the risk of injecting the medication into the muscle, which could lead to increased bleeding.
Choice C rationale: Aspiration is not required for subcutaneous injections and might not influence bleeding at the injection site.
Choice D rationale: The Z-track method is typically used for intramuscular injections to prevent medication from leaking into subcutaneous tissue, but it is not appropriate for subcutaneous heparin injections.
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