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?
Instruct patient to increase dietary intake.
Inform the primary health provider immediately.
Record assessments on the patient's chart.
Inquire about any previous drug allergies.
The Correct Answer is C
Choice A rationale:
Instructing the patient to increase dietary intake is not the most likely intervention when a patient shows improvement with penicillin therapy. Dietary advice would be more relevant if the patient was experiencing gastrointestinal side effects or had specific nutritional needs due to their condition or treatment.
Choice B rationale:
Informing the primary health provider immediately is not typically necessary when a patient shows improvement with penicillin therapy. It's crucial to continue monitoring the patient's progress, but this choice suggests an unnecessary action.
Choice C rationale:
This is the correct answer. When a patient undergoing penicillin therapy shows improvement, the nurse should record assessments and observations on the patient's chart. This helps track the patient's progress and ensures that the healthcare team has up-to-date information about the patient's condition.
Choice D rationale:
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Correct Answer is A
Explanation
Choice A rationale:
Isoniazid Isoniazid is one of the first-line drugs used in the initial treatment phase of tuberculosis (TB). It is a key component of the standard regimen for TB treatment. Isoniazid is highly effective against Mycobacterium tuberculosis, the bacterium responsible for TB, and it plays a critical role in the initial phase of treatment to rapidly reduce the bacterial load.
Choice B rationale:
Ciprofloxacin Ciprofloxacin is not a first-line drug for the treatment of tuberculosis. While it has antibacterial properties, it is not considered one of the primary agents for TB treatment. It is more commonly used to treat other types of bacterial infections, such as urinary tract infections.
Choice C rationale:
Gentamycin Gentamycin is not typically used as a first-line treatment for TB. It is reserved for specific situations, such as drug-resistant TB cases, and is not part of the standard initial treatment regimen for TB.
Choice D rationale:
Clindamycin Clindamycin is not a first-line drug for the treatment of tuberculosis. It is primarily used to treat anaerobic bacterial infections and is not a standard part of TB treatment protocols.
Correct Answer is A
Explanation
Choice A rationale:
Hemolytic anemia Hemolytic anemia is a contraindication for the use of ferrous sulfate, which is an iron supplement. Iron can exacerbate hemolysis in individuals with certain types of hemolytic anemia, leading to further breakdown of red blood cells. Therefore, the nurse should withhold the drug and consult with the primary healthcare provider to explore alternative treatments.
Choice B rationale:
Vitamin B12 deficiency anemia Vitamin B12 deficiency anemia is not a direct contraindication for ferrous sulfate. Ferrous sulfate is used to treat iron-deficiency anemia, and vitamin B12 deficiency anemia is a separate condition that requires different treatments. These two conditions are not typically interrelated in terms of treatment.
Choice C rationale:
Anemia of chronic kidney disease Anemia of chronic kidney disease is a condition where the kidneys are unable to produce enough erythropoietin, a hormone that stimulates red blood cell production. While ferrous sulfate may not be the first-line treatment for this type of anemia, it is not a strict contraindication. The decision to use iron supplements would depend on the individual patient's needs and the primary healthcare provider's recommendations.
Choice D rationale:
Hypertension Hypertension is not a contraindication for ferrous sulfate use. While patients with high blood pressure should be monitored closely, iron supplementation does not directly affect blood pressure regulation. The nurse should consider potential interactions with other medications the client may be taking, but hypertension alone is not a reason to withhold ferrous sulfate.
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