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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. Determine factors that led to the omission: While determining the factors that led to the omission is important for preventing future errors, it is not the immediate priority when a medication has been missed. Assessing the client for adverse reactions takes precedence to ensure their safety and well-being.

B. Assess the client for adverse reactions: Assessing the client for adverse reactions is the immediate priority when a medication has been missed. This allows the nurse to promptly identify any potential harm or complications resulting from the missed dose and take appropriate actions to mitigate them.

C. Report the missed dosage to the client's provider: Reporting the missed dosage to the client's provider is important for documentation and continuity of care, but it should follow the assessment of the client for adverse reactions. Immediate assessment of the client's condition takes precedence to address any immediate concerns.

D. File an incident report: Filing an incident report is necessary for documenting the missed dosage and analyzing the factors that contributed to the error. However, it should be done after assessing the client for adverse reactions and reporting the incident to the provider. The incident report helps in identifying system issues and implementing measures to prevent similar errors in the future.

A. Presence of pedal pulses bilaterally B. Decreased INR C. Reduced calf circumference D. Platelets within the expected reference range

Correct Answer is C

Explanation

Choice A rationale: Presence of pedal pulses bilaterally is a normal finding and does not reflect the status of the blood clot.
Choice B rationale: Decreased INR is a measure of how quickly the blood clots and is used to monitor warfarin therapy, not heparin therapy.
Choice C rationale: A reduced calf circumference indicates that the swelling caused by the blood clot has decreased, which means that the heparin therapy is working.
Choice D rationale: Platelet levels are not the primary indicator of the effectiveness of heparin therapy for deep-vein thrombosis.

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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?

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Naxlex Comprehensive Predictor Exams

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