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 D

Explanation

Choice A rationale:

Lymphoma is not a known adverse effect of aspirin use. Reye's syndrome, a rare but severe condition, is associated with aspirin use in children recovering from viral infections such as chickenpox or influenza. Therefore, it is important to be alert to the development of Reye's syndrome when aspirin is administered to a child with these infections.

Choice B rationale:

Angioneurotic edema is not a typical adverse effect of aspirin use in children with chickenpox. Reye's syndrome is the more relevant concern.

Choice C rationale:

Acute renal failure is not a direct result of aspirin use for fever in children. The primary concern in this context is Reye's syndrome, which affects the brain and liver.

A. Digoxin (Lanoxin). B. Phenytoin (Dilantin). C. Vancomycin (Vancocin). D. Carbamazepine (Tegretol). .

Correct Answer is A

Explanation

Choice A rationale: Tetracycline can increase the levels of digoxin (Lanoxin) in the blood, leading to an increased risk of digoxin toxicity. This interaction occurs because tetracycline can interfere with the metabolism and excretion of digoxin, causing higher concentrations of the drug in the bloodstream1. Symptoms of digoxin toxicity include nausea, vomiting, dizziness, and cardiac arrhythmias. Therefore, patients taking both medications should be closely monitored for signs of toxicity and may require dosage adjustments.

Choice B rationale: Phenytoin (Dilantin) does not have a significant interaction with tetracycline that increases the risk of toxicity. While both medications can be used together, they do not significantly affect each other's metabolism or excretion1.

Choice C rationale: Vancomycin (Vancocin) does not have a significant interaction with tetracycline that increases the risk of toxicity. Both medications can be used together without causing significant changes in their metabolism or excretion1.

Choice D rationale: Carbamazepine (Tegretol) does not have a significant interaction with tetracycline that increases the risk of toxicity. While both medications can be used together, they do not significantly affect each other's metabolism or excretion

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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

Naxlex Comprehensive Predictor Exams

The parents of a child who is recovering from chickenpox tell the nurse that they gave the child aspirin for his fever.The nurse would be alert to the development of which of the following?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who is prescribed tetracycline. The nurse would be alert for an increased risk of toxicity if the client is taking which of the following?

Correct Answer is A

Explanation

A nurse should warn a client about which of the following adverse reactions that can occur after the administration of influenza vaccine (Fluzone)?

Which of the following would the nurse emphasize when teaching the client and family about measures to prevent reinfection and the transmission of a parasitic infection to others?

A nursing instructor is preparing a teaching plan for a group of nursing students about macrolide antibacterial drugs.Which of the following would the instructor expect to include?

A group of nursing students is reviewing information about upper gastrointestinal system drugs.The students demonstrate understanding of the material when they identify which of the following as a proton pump inhibitor?

A nurse is preparing to administer an aminoglycoside to a client.The nurse would be alert for the development of which of the following toxicities?

A patient undergoing penicillin therapy shows improvement and states that he is feeling better.Which of the following interventions is the nurse most likely to perform in such a situation?

A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.The nurse determines that the teaching was successful when the client states which of the following?

Which of the following should be included in the nurse's preadministration assessment before administering the first dose of an antineoplastic drug?

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?