A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?
"You should anticipate taking medication to treat your disease for at least the next 3 years."
"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 will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."
The Correct Answer is C
Choice A rationale:
The treatment duration for active pulmonary tuberculosis is usually shorter than 3 years.
Choice B rationale:
Monitoring kidney function is not the primary focus of tuberculosis medication management.
Choice C rationale:
Treatment for active pulmonary tuberculosis involves using a combination of two or more medications to prevent drug resistance and effectively treat the infection.
Choice D rationale:
Tuberculin skin tests are used for diagnosing tuberculosis, not for monitoring treatment progress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Increased pain relief is not a therapeutic effect of naloxone, but rather an adverse effect of morphine. Naloxone would reduce the analgesic effect of morphine and increase the pain sensation in the client.
Choice B rationale:
Naloxone is an opioid antagonist that reverses the effects of opioids, such as morphine, on the central nervous system. One of the main adverse effects of opioids is respiratory depression, which can lead to hypoxia and death. Naloxone restores normal breathing by blocking the opioid receptors in the brain and spinal cord. Therefore, a therapeutic effect of naloxone is increased respiratory rate.
Choice C rationale:
Decreased blood pressure is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the blood pressure significantly, unless the client had severe hypotension due to opioid overdose.
Choice D rationale:
Decreased nausea is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the gastrointestinal system, unless the client had severe nausea and vomiting due to opioid overdose.
Correct Answer is B
Explanation
Choice A rationale:
Lithium carbonate should be taken with meals to minimize gastrointestinal upset.
Choice B rationale:
Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.
Choice C rationale:
Tyramine is not typically restricted in clients taking lithium.
Choice D rationale:
Swelling of the feet is not a common adverse effect of lithium carbonate.
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