A nurse understands that anthelmintic drugs are contraindicated in which patients?

Choice A rationale:

Ragweed is a common allergenic plant that can cause contact dermatitis in individuals with hypersensitivity to it. Chamomile tea, when related to potential allergies, is often cross-reactive with ragweed due to the presence of similar allergenic proteins. The nurse should alert the client to the possibility of contact dermatitis if they have a hypersensitivity to ragweed.

Choice B rationale:

Foxglove is not commonly associated with contact dermatitis and is not related to the use of chamomile tea. Foxglove is known for its cardiac glycosides and is used in the treatment of heart conditions.

Choice C rationale:

Black Cohosh is not typically associated with contact dermatitis and is not directly related to the use of chamomile tea. Black Cohosh is used for various medicinal purposes, including the management of menopausal symptoms.

Choice D rationale:

Lavender is not commonly associated with contact dermatitis and is not typically related to the use of chamomile tea. Lavender is known for its calming and aromatic properties and is used in various skincare and aromatherapy products.

Choice A rationale:

The initial phase of treatment in tuberculosis management involves the first few weeks of intensive drug therapy when the goal is to reduce the bacterial load and prevent drug resistance. During this phase, the client typically takes multiple medications, but there is no requirement for direct observation by a healthcare provider.

Choice B rationale:

The continuation phase of treatment occurs after the initial phase in tuberculosis management. It focuses on preventing relapse and the complete eradication of the bacteria. During this phase, the client takes fewer medications, but there is no direct observation of medication administration.

Choice C rationale:

Directly observed therapy (DOT) is a strategy used in tuberculosis treatment where a healthcare provider or trained observer directly watches the client take their medications. This is particularly important to ensure adherence and prevent drug resistance. The description in the question aligns with the practice of DOT.

Choice D rationale:

Adherence evaluation refers to assessing how well a client follows their treatment plan, but it doesn't necessarily involve observing medication administration. While adherence evaluation is essential, the scenario described in the question specifically mentions the client demonstrating medication intake in front of a nurse, which corresponds to DOT.