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In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

Isoniazid

Vancomycin

Pyrazinamide

Pantoprazole

Rifampin

Propranolol

Ethambutol

Answer and Explanation

Correct Answer : A,C,E,F

A.   This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
B.   Vancomycin is an antibiotic that is effective against certain bacteria, but it is not used in the treatment of TB.
C.   This is another first-line anti-TB medication that is often used in combination with other drugs to treat active TB infections.
D.   Pantoprazole is a proton pump inhibitor used to treat acid reflux and ulcers. It is not used in the treatment of TB.
E.   This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
F.   Propranolol is a beta-blocker used to treat conditions such as high blood pressure and heart rhythm disorders. It is not used in the treatment of TB.
G.   This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.

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Correct Answer is A

Explanation

A. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.

A. Antistreptolysin-O (ASO) titer. B. Purified protein derivative test. C. Chest X-ray. D. C-reactive protein.

Correct Answer is B

Explanation

A. The ASO titer is a blood test used to detect streptococcal infections, particularly post-streptococcal sequelae like rheumatic fever or glomerulonephritis. It is not related to tuberculosis.
B. The Purified Protein Derivative (PPD) test, also known as the tuberculin skin test (TST), is specifically used to identify exposure to the tuberculosis bacteria. If a person has been exposed, the immune system will react to the PPD injection, causing a localized skin reaction that can be measured after 48-72 hours.
C. While a chest X-ray is an important tool for diagnosing active tuberculosis or assessing lung involvement, it is not the initial test for determining exposure to TB. It is usually ordered after a positive PPD test or when there are clinical symptoms of TB.
D. C-reactive protein (CRP) is a nonspecific marker of inflammation and infection in the body. It does not specifically indicate exposure to tuberculosis and is not used for TB testing.

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In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Correct Answer is A

Explanation

Which test would the nurse expect the primary care provider to order to look for exposure to tuberculosis?

Correct Answer is B

Explanation

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

In administering a calcium channel blocker to a patient diagnosed with primary hypertension, the nurse understands this is due to which mechanism of action of this medication?

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?

A client is admitted to the hospital for medical treatment of pneumonia. What diagnostic test would the nurse examine to help the health care provider to determine the next step in planning care?

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?