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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."

Answer and Explanation

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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Correct Answer is C

Explanation

- A: Warmer skin is not expected as methimazole is used to reduce thyroid hormone production, which would decrease metabolism and heat production.
- B: An increase in pulse rate is unlikely because methimazole decreases thyroid hormone levels, leading to a potential decrease in heart rate.
- C: Increased sleeping is expected as methimazole reduces hyperthyroid symptoms, including insomnia, thus normalizing sleep patterns.
- D: Weight loss is not expected; instead, weight stabilization or gain may occur as the metabolism normalizes with treatment.

A. The client should be treated by giving potassium by IV bolus. B. Another formulation of potassium should be given IV. C. Potassium chloride should be diluted in dextrose 5% in water. D. The potassium infusion rate is too rapid.

Correct Answer is D

Explanation

Choice A rationale:

IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.

Choice B rationale:

The formulation of potassium (potassium chloride) is appropriate for IV administration.

Choice C rationale:

Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.

Choice D rationale:

The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.

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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?

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Naxlex Comprehensive Predictor Exams

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is C

Explanation

A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." For which of the following reasons should the nurse clarify this prescription with the provider?

Correct Answer is D

Explanation

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