The nurse is discharging a client newly diagnosed with tuberculosis. Which medications should be included in the discharge planning? (SELECT ALL THAT APPLY)

Albuterol

Isoniazid

Pyrazinamide

Tiotropium

Rifampin

Answer and Explanation

Correct Answer : B,C,D,E

Choice A reason: Albuterol is a bronchodilator used to treat conditions like asthma and chronic obstructive pulmonary disease (COPD). It is not typically used in the treatment of tuberculosis (TB). TB treatment focuses on antibiotics that target the Mycobacterium tuberculosis bacteria.

Choice B reason: Isoniazid is one of the primary medications used in the treatment of tuberculosis. It works by inhibiting the synthesis of mycolic acids, which are essential components of the bacterial cell wall. Isoniazid is usually part of the initial treatment regimen for TB and is taken for several months to ensure the complete eradication of the bacteria.

Choice C reason: Pyrazinamide is another key medication in the treatment of tuberculosis. It is particularly effective during the initial phase of treatment and helps to reduce the duration of therapy. Pyrazinamide works by disrupting the bacterial cell membrane metabolism and transport functions.

Choice D reason: Tiotropium is a long-acting bronchodilator used to manage COPD. It is not used in the treatment of tuberculosis. The focus of TB treatment is on antibiotics that specifically target the TB bacteria.

Choice E reason: Rifampin is a critical antibiotic in the treatment of tuberculosis. It works by inhibiting the RNA synthesis of the bacteria, effectively killing the TB bacteria. Rifampin is usually taken in combination with other TB medications to prevent the development of drug-resistant strains of the bacteria.

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Correct Answer is B

Explanation

Choice A reason:

Fever and bradypnea are not typical manifestations of asthma. Fever is more commonly associated with infections, and bradypnea (abnormally slow breathing) is not a characteristic symptom of asthma.

Choice B reason:

Dyspnea (shortness of breath) and wheezing are hallmark symptoms of asthma. Asthma is characterized by inflammation and narrowing of the airways, which leads to difficulty breathing and a whistling sound (wheezing) when exhaling. These symptoms are often triggered by allergens, exercise, or respiratory infections.

Choice C reason:

Crackles and a productive cough are more indicative of conditions like pneumonia or chronic bronchitis rather than asthma. Asthma typically involves a dry cough rather than a productive one.

Choice D reason:

A normal chest shape and orthopnea (difficulty breathing when lying flat) are not specific to asthma. While some individuals with severe asthma may develop a barrel chest over time due to chronic overinflation of the lungs, this is not a typical early manifestation.

A. Exercise B. Pollen C. Animal dander D. Emotional stress E. Recent travel abroad

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason:

Exercise is a well-known trigger for asthma, particularly exercise-induced bronchoconstriction (EIB). During physical activity, especially in cold or dry air, the airways can narrow, leading to symptoms such as shortness of breath, wheezing, and coughing. Proper management and pre-exercise medication can help mitigate these effects.

Choice B reason:

Pollen is a common allergen that can trigger asthma symptoms. Pollen from trees, grasses, and weeds can cause allergic reactions that lead to asthma exacerbations. Seasonal variations in pollen levels can significantly impact individuals with asthma, making it important to monitor pollen counts and take preventive measures.

Choice C reason:

Animal dander, which consists of tiny flakes of skin shed by cats, dogs, and other animals, is a frequent asthma trigger. Proteins found in the dander, saliva, and urine of pets can cause allergic reactions and asthma symptoms. Reducing exposure to pets and maintaining a clean environment can help manage this trigger.

Choice D reason:

Emotional stress can also trigger asthma symptoms. Stress and strong emotions can lead to hyperventilation and changes in breathing patterns, which can exacerbate asthma. Stress management techniques and relaxation exercises can be beneficial in controlling asthma symptoms related to emotional stress.

Choice E reason:

Recent travel abroad is not typically considered a common trigger for asthma. While travel can expose individuals to different environmental factors and allergens, it is not a direct trigger like the other options listed. However, it is important for individuals with asthma to plan and prepare for travel to manage their condition effectively.

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The nurse is discharging a client newly diagnosed with tuberculosis. Which medications should be included in the discharge planning? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?

Correct Answer is B

Explanation

Which of the following would the nurse discuss as common triggers for a client newly diagnosed with asthma? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","D"]

Explanation

The nurse is aware that the client who is prescribed medications for tuberculosis should have which laboratory test(s) assessed monthly?

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The nurse recognizes which of the following tests will confirm the diagnosis of tuberculosis for a client?

The nurse is aware that a common adverse effect of anesthetic agents experienced by the client is:

The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis: