A patient with TB is undergoing initial therapy in the treatment.
The nurse has to administer three or more drugs in combination to the patient.
The patient wishes to know the reason for administering a combination of drugs.
Which of the following explanations does the nurse offer related to the combination of medications?

Prevents the incidence of liver dysfunction.

Slows down bacterial resistance.

Slows the body's resistance to medication.

Prevents further spreading of TB.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Administering a combination of drugs in TB treatment is not primarily aimed at preventing the incidence of liver dysfunction. The combination therapy's main objective is to address the complex nature of Mycobacterium tuberculosis infections and the potential development of antibiotic resistance.

Choice B rationale:

The nurse should explain that the primary reason for administering a combination of drugs is to slow down bacterial resistance. When TB is treated with a single drug, the bacteria can quickly develop resistance to that drug. Using a combination of drugs with different mechanisms of action makes it more difficult for the bacteria to develop resistance. This is a fundamental principle in the treatment of TB.

Choice C rationale:

Slowing the body's resistance to medication is not a goal in TB treatment. The focus is on preventing the development of resistance in the bacteria, not the body's response to the medication.

Choice D rationale:

While TB treatment aims to prevent the further spread of the disease, the primary reason for using a combination of drugs is to address bacterial resistance. Preventing the spread of TB is an important secondary benefit of effective treatment.

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Correct Answer is D

Explanation

Choice A rationale:

Ginger Ginger is not typically used to prevent or relieve symptoms of urinary tract infections (UTIs). It is more commonly known for its anti-nausea properties and may be used for gastrointestinal discomfort, but it is not a well-known remedy for UTIs.

Choice B rationale:

Feverfew Feverfew is an herbal remedy often used for headaches and migraines, not for UTIs. It has anti-inflammatory properties and is not typically associated with urinary tract health.

Choice C rationale:

Saw palmetto Saw palmetto is sometimes used for symptoms related to the prostate, such as benign prostatic hyperplasia (BPH), but it is not commonly associated with preventing or relieving UTI symptoms. Its primary use is for male reproductive health, not UTIs.

Choice D rationale:

Cranberry Cranberry is a well-known and widely recognized natural remedy for preventing and relieving symptoms of UTIs. It is believed to help by preventing the adhesion of bacteria to the urinary tract wall, making it easier for the body to flush out the bacteria. It is important for the client to be aware of this option, as cranberry products, such as cranberry juice or supplements, can be a helpful adjunct to treatment or prevention of UTIs.

A. If a dosage is missed, increase the next dosage to meet the daily quota. B. Ampicillin will reduce the effectiveness of birth control pills. C. Take the drug on an empty stomach, an hour before or 2 hours after meals. D. Avoid the use of skin care products, like moisturizers, when on penicillin therapy.

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with a urinary tract infection.When obtaining the client's drug history, the client reports using an herbal product in the past to prevent and relieve the symptoms.Which of the following would the client most likely identify?

Correct Answer is D

Explanation

A 26-year-old female patient with a skin infection has been prescribed 400 mg ampicillin to be taken orally.Which of the following instructions should the nurse include in the patient teaching plan?

Correct Answer is C

Explanation

A nurse is teaching a patient about the common adverse reactions that can occur with his prescribed therapy with cephalosporins.The nurse determines that the teaching was successful when the patient identifies which of the following?

A nurse is caring for a client with iron deficiency anemia who is receiving iron supplements.What information should the nurse include in the teaching plan for this client?

A patient diagnosed with TB is undergoing treatment.The nurse knows that which of the following would be used for household members and other close associates of the client to help prevent the spread of the disease?

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?

A client has been receiving treatment with antineoplastic drugs that depress the bone marrow.Which preadministration assessment would be most important for the nurse to complete with respect to this effect?

A client is prescribed ferrous sulfate (Feosol). Which of the following adverse reactions should the nurse discuss with a client prior to the administration of this drug?

A nurse is preparing to administer antiviral therapy.The nurse integrates knowledge of this therapy, administering the drugs cautiously to clients with which of the following?

After teaching a group of nursing students about the action of sulfonamides, the instructor determines that the teaching was successful when the students state that the action of this class of drugs is primarily which of the following?