(Select all that apply): A nurse is caring for a patient with TB. Which adjunctive measures may be required for this patient's treatment? Select all that apply:
Surgery for extensive lung damage.
Corticosteroids for pericarditis.
Nutritional support for malnutrition.
Fluid therapy for dehydration.
Pain management for chest pain.
Correct Answer : B,C,D,E
Choice A rationale:
Surgery for extensive lung damage may be considered in very rare cases of complications from TB, but it is not an adjunctive measure commonly required for TB treatment. The primary treatment for TB involves antibiotic therapy and adjunctive measures to manage complications.
Choice B rationale:
Corticosteroids may be required as adjunctive therapy for pericarditis, a complication of TB that affects the lining around the heart. Corticosteroids help reduce inflammation and improve the patient's condition.
Choice C rationale:
Nutritional support is often necessary for patients with TB, as the disease can lead to malnutrition and weight loss. Adequate nutrition is crucial for supporting the immune system and facilitating recovery.
Choice D rationale:
Fluid therapy may be required for patients with TB who experience dehydration due to fever, night sweats, and reduced oral intake. Proper hydration helps maintain organ function and aids in the elimination of waste products.
Choice E rationale:
Pain management is essential for patients with TB, especially for those experiencing chest pain, which can be a symptom of the disease or a complication. Adequate pain control improves the patient's comfort and compliance with treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale:
The most effective way to prevent both chickenpox and shingles is through vaccination. Chickenpox can be prevented by receiving the varicella vaccine (Varivax), and shingles can be prevented or its severity reduced by getting vaccinated with the herpes zoster vaccine (Shingrix) These vaccines stimulate the immune system to provide protection against the respective viruses.
Choice A rationale:
While handwashing with soap and water is essential for general hygiene and can help reduce the spread of infectious diseases, it is not the most effective method for preventing chickenpox and shingles.
Choice B rationale:
Avoiding contact with contaminated surfaces can help reduce the transmission of various infections, but it may not be sufficient to prevent chickenpox and shingles, which are primarily transmitted through respiratory droplets and direct contact with lesions.
Choice D rationale:
Isolating infected individuals until all lesions are crusted over is a measure to prevent the spread of chickenpox, but it is not as effective as vaccination in preventing the disease and its complications. Now, searching for three additional ATI/HESI MCQs related to the topic of Tuberculosis (TB)
Correct Answer is C
Explanation
Choice A rationale:
"I should take my medications regularly and complete the full course of therapy" is a correct statement. TB treatment involves multiple drugs taken for an extended period, typically 6 to 9 months, to ensure complete eradication of the bacteria and prevent drug resistance.
Choice B rationale:
"I will report any adverse effects of the medications, such as skin rash or eye inflammation" is a correct statement. TB medications can have side effects, and it's crucial for the patient to report any adverse reactions to their healthcare provider for appropriate management.
Choice C rationale:
"I can stop taking the medications once I start feeling better" is an incorrect statement. TB treatment requires completing the full course of therapy, even if the patient's symptoms improve. Stopping treatment prematurely can lead to treatment failure and the development of drug-resistant TB.
Choice D rationale:
"I understand that the treatment may require surgery if there is extensive lung damage" is a correct statement. In some cases of TB, particularly if there is significant lung damage or complications, surgical intervention may be necessary.
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