A 35-year-old client who has a diagnosis of tuberculosis informs the provider's office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment?
Help the client apply for Medicare
Explore options for alternative therapies
Arrange for medication through local agencies
Send the client to the nearest facility for further evaluation
The Correct Answer is C
Choice A reason: Helping the client apply for Medicare is not the best action by the nurse, as Medicare is a federal health insurance program for people who are 65 or older, disabled, or have end-stage renal disease. The client does not meet any of these criteria and may not be eligible for Medicare.
Choice B reason: Exploring options for alternative therapies is not the best action by the nurse, as alternative therapies may not be effective or safe for treating tuberculosis. Tuberculosis is a serious bacterial infection that requires specific antibiotics to cure. Alternative therapies may also interfere with the prescribed medication or cause adverse effects.
Choice C reason: Arranging for medication through local agencies is the best action by the nurse, as it ensures that the client receives the appropriate treatment for tuberculosis. Local agencies may have programs or resources that can help the client access free or low-cost medication. The nurse should also educate the client about the importance of adhering to the medication regimen and completing the course of treatment.
Choice D reason: Sending the client to the nearest facility for further evaluation is not the best action by the nurse, as it may delay the initiation of treatment and increase the risk of transmission of tuberculosis to others. The client already has a diagnosis of tuberculosis and needs to start the treatment as soon as possible. The nurse should also advise the client to wear a mask and avoid close contact with others until the infection is no longer contagious.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A reason: You should avoid sexual contact until therapy is complete. This is to prevent the transmission of the infection to others, and to avoid reinfection or complications. The usual treatment for chlamydia is a single dose of an antibiotic, such as azithromycin or doxycycline. You should abstain from sexual activity for at least 7 days after taking the medication.
Choice B reason: Notify anyone with whom you have had sexual contact over the past 2 months. This is to inform them of their possible exposure to the infection, and to encourage them to get tested and treated if necessary. Chlamydia is a sexually transmitted infection that can cause pelvic inflammatory disease, infertility, ectopic pregnancy, and neonatal complications. It can also increase the risk of acquiring or transmitting other STIs, such as HIV.
Choice C reason: You will need to take an antiviral medication for 30 days. This is not a correct information that the nurse should include in the teaching. Chlamydia is a bacterial infection, not a viral infection. Antiviral medications are not effective against chlamydia, and are not indicated for its treatment.
Choice D reason: Once you complete treatment, you will have an acquired immunity against chlamydia. This is not a correct information that the nurse should include in the teaching. Chlamydia does not confer immunity, and you can get infected again if you are exposed to the bacteria. You should get tested for chlamydia at least once a year, or more often if you have multiple or new sexual partners.
Choice E reason: You might experience painful urination until the infection has resolved. This is a correct information that the nurse should include in the teaching. Chlamydia can cause inflammation and irritation of the urethra, which can result in dysuria, or painful or difficult urination. Other symptoms of chlamydia may include abnormal vaginal or penile discharge, lower abdominal pain, bleeding between periods, or pain during sex. However, some people may not have any symptoms, and may not know they are infected. Therefore, it is important to get tested regularly and to use condoms to prevent the spread of the infection.
Correct Answer is B
Explanation
Choice A reason: People who have substance use disorders are not the fastest growing segment of the homeless population, although they are a significant and vulnerable group. Substance use disorders may contribute to or result from homelessness, but they are not the primary cause of the increase in homelessness.
Choice B reason: Families who have children are the fastest growing segment of the homeless population, according to the U.S. Department of Housing and Urban Development (HUD). The number of homeless families with children increased by 9% from 2019 to 2020, and they accounted for 34% of the total homeless population in 2020. The main causes of family homelessness are lack of affordable housing, poverty, unemployment, domestic violence, and health problems.
Choice C reason: Adolescent runaways are not the fastest growing segment of the homeless population, although they are a high-risk and underserved group. Adolescent runaways may face challenges such as abuse, exploitation, mental health issues, and lack of education and employment opportunities. However, the number of homeless youth is difficult to estimate due to their hidden and transient nature.
Choice D reason: Men who are unemployed are not the fastest growing segment of the homeless population, although they are a large and diverse group. Men who are unemployed may face barriers such as low wages, lack of skills, discrimination, and health problems. However, the number of homeless men has decreased by 5% from 2019 to 2020, and they accounted for 60% of the total homeless population in 2020.
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