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 will need to undergo tuberculin skin tests every 6 months while taking medication for your disease"

"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 should report monthly to have your blood drawn to monitor kidney function while taking medication

Answer and Explanation

The Correct Answer is B

A. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."
Tuberculin skin tests are typically used for screening and diagnosis, not for monitoring the effectiveness of tuberculosis treatment. Monitoring for treatment effectiveness involves assessing symptoms, sputum cultures, and other diagnostic tests.
B. "You will need to take two or more medications to treat your disease."
This is the correct answer. Tuberculosis is usually treated with a combination of antibiotics to prevent the development of drug resistance. Multidrug therapy is a standard approach to tuberculosis treatment.
C. "You should anticipate taking medication to treat your disease for at least the next 3 years."
The duration of tuberculosis treatment is generally shorter than 3 years. The standard treatment duration is typically 6 to 9 months, depending on the specific regimen used.
D. "You should report monthly to have your blood drawn to monitor kidney function while taking medication."
Monitoring kidney function is important for some medications, but it is not a standard monthly requirement for tuberculosis treatment. Monitoring typically involves assessing liver function, as certain tuberculosis medications can affect the liver.

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Correct Answer is C

Explanation

A. Orthostatic hypotension:
Orthostatic hypotension is not a common adverse effect of pioglitazone. This condition is more associated with medications that affect blood pressure or volume.
B. Tinnitus:
Tinnitus (ringing in the ears) is not typically associated with pioglitazone. Adverse effects of pioglitazone are more related to its impact on glucose metabolism and other metabolic processes.
C. Fluid retention:
This is the correct answer. Fluid retention is a known adverse effect of pioglitazone. It can lead to edema, weight gain, and, in some cases, exacerbation of heart failure. Monitoring for signs of fluid retention is important during treatment with pioglitazone.
D. Insomnia:
Insomnia is not a common adverse effect of pioglitazone. Adverse effects are more related to metabolic processes, and sleep disturbances are not typically associated with this medication.

A. Identify the client using two identifiers. B. Remove the medication from the medication dispensing cabinet. C. Compare the amount of medication available to the inventory record D. Document the administration of the medication

Correct Answer is A

Explanation

A. Identify the client using two identifiers:
This is the correct answer. Before administering any medication, especially controlled substances, it is crucial to positively identify the client using two identifiers (e.g., name, date of birth, or medical record number). This helps prevent medication errors.
B. Remove the medication from the medication dispensing cabinet:
While removing the medication from the dispensing cabinet is part of the administration process, it should occur after confirming the client's identity to ensure the right medication is being given to the right person.
C. Compare the amount of medication available to the inventory record:
Checking the medication inventory is an important step in overall medication management, but it is not the first action when planning to administer a controlled substance.
D. Document the administration of the medication:
Documentation is an essential part of the medication administration process, but it should occur after the medication has been given, not as the first action.

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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

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Correct Answer is A

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