A nursing instructor is describing a situation in which a client with tuberculosis periodically visits his primary health care provider and demonstrates taking his medication in front of the nurse.
The instructor is describing which of the following?

Initial phase of treatment.

Continuation phase of treatment.

Directly observed therapy.

Adherence evaluation.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is C

Explanation

Choice A rationale:

Instructing the patient to increase the next dosage if a dose is missed is not appropriate. This can lead to overdosage, which may result in adverse effects and complications. It's essential for the patient to take the medication as prescribed and not make up for missed doses in this manner.

Choice B rationale:

Ampicillin is an antibiotic and, as such, will not reduce the effectiveness of birth control pills. This is a misconception. Patients on antibiotics are often advised to use an additional form of contraception, such as condoms, to prevent unintended pregnancy, but the effectiveness of birth control pills is not reduced by ampicillin.

Choice D rationale:

There is no need to avoid skin care products like moisturizers while on penicillin therapy. Ampicillin and other penicillin antibiotics do not typically interact with these products. Therefore, this advice is not relevant to the patient's treatment.

A. Monitoring for the appearance of adverse reactions. B. Monitoring the patient's vital signs every 24 hours. C. Assessing the patient's history of contacts. D. Use DOT to administer the drug to the patient.

Correct Answer is A

Explanation

Choice A rationale:

Monitoring for the appearance of adverse reactions is a crucial aspect of managing a patient with TB undergoing treatment. TB medications can have side effects, and early detection of adverse reactions is essential for timely intervention. Some common adverse effects of TB drugs include hepatotoxicity, peripheral neuropathy, and gastrointestinal disturbances. By closely monitoring the patient, the nurse can ensure prompt action if these side effects occur, improving the patient's overall care and safety.

Choice B rationale:

Monitoring the patient's vital signs every 24 hours may be part of standard nursing care, but when managing a patient with TB, the primary focus should be on monitoring for adverse reactions to the TB medications. Vital signs are important but not the most critical aspect of care in this specific situation.

Choice C rationale:

Assessing the patient's history of contacts is essential for identifying potential sources of TB transmission. However, it is more related to the initial assessment and diagnosis of TB rather than ongoing assessment during treatment. The primary focus during treatment is monitoring the patient's response to medication and any adverse reactions.

Choice D rationale:

Using Directly Observed Therapy (DOT) to administer TB drugs is a standard practice to ensure treatment adherence. However, ongoing assessment should focus on monitoring for adverse reactions and treatment effectiveness rather than the administration method, which is usually established at the beginning of treatment.

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A nursing instructor is describing a situation in which a client with tuberculosis periodically visits his primary health care provider and demonstrates taking his medication in front of the nurse.The instructor is describing which of the following?

Nursing Test Bank

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A nursing instructor is describing a situation in which a client with tuberculosis periodically visits his primary health care provider and demonstrates taking his medication in front of the nurse.
The instructor is describing which of the following?