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The nurse is preparing the client for discharge.

Exhibits

Which of the following statements indicate the client understands the discharge teaching?

Select the 3 client statements that indicate an understanding of the teaching.

“I can continue my current alcohol intake."

“I can expect my contact lenses to turn red or orange."

“I will need to take my medications for a total of 6 weeks."

“I will need to have a repeat Mantoux test in 4 weeks."

"I am no longer contagious."

“I should notify my provider if I start taking new over-the-counter or prescription medications."

“I will need to have someone observe me when I take medication."

Answer and Explanation

Correct Answer : B,F,G

A. "I can continue my current alcohol intake." The client should avoid alcohol while taking tuberculosis (TB) medications such as isoniazid and rifampin, as alcohol increases the risk of hepatotoxicity.
B. "I can expect my contact lenses to turn red or orange." Rifampin, a common medication used to treat TB, can cause bodily fluids such as urine, sweat, tears, and saliva to turn red or orange. This can stain soft contact lenses permanently, so clients should be informed of this side effect.
C. "I will need to take my medications for a total of 6 weeks." The standard treatment for TB typically lasts at least 6 months, not just 6 weeks. Clients must complete the full course of therapy to prevent drug resistance and recurrence.
D. "I will need to have a repeat Mantoux test in 4 weeks." A Mantoux test (tuberculin skin test) is not needed after a confirmed TB diagnosis with a positive sputum culture. Instead, follow-up evaluations include repeat sputum cultures and chest x-rays.
E. "I am no longer contagious." Clients with active pulmonary TB are considered contagious until they have completed at least two weeks of effective treatment, have improving symptoms, and have three consecutive negative sputum cultures.
F. "I should notify my provider if I start taking new over-the-counter or prescription medications." TB medications, especially rifampin, can interact with many drugs, including oral contraceptives, anticoagulants, and antiretrovirals. Clients must inform their provider of any new medications.
G. "I will need to have someone observe me when I take medication." Directly observed therapy (DOT) is recommended for clients with TB to ensure medication adherence and reduce the risk of treatment failure or drug resistance.

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Correct Answer is A

Explanation

A. Cleanse skin eruptions with povidone-iodine. Cleaning the skin eruptions with a mild antiseptic like povidone-iodine can help reduce the risk of secondary bacterial infections and promote healing. Keeping the affected area clean is important in managing herpes simplex outbreaks.
B. Avoid over-the-counter topical ointments. Over-the-counter topical ointments are often recommended to help soothe the skin and alleviate discomfort during a herpes simplex outbreak. While some ointments may not be effective against the virus, it is not necessary to avoid all topical products.
C. Administer an antibiotic medication. Herpes simplex is caused by a virus, so antibiotics, which are effective against bacterial infections, would not be appropriate for treating this condition. Antiviral medications such as acyclovir or valacyclovir are indicated instead to help manage outbreaks.
D. Place disposable thermometers in the client's room. There is no specific need for disposable thermometers for a client with a herpes simplex outbreak. Standard infection control practices are sufficient, and there is no risk of contamination related to herpes that would require special thermometers.

Correct Answer is ["0.25"]

Explanation

Volume = Desired Dose / Available Concentration

Desired: 0.5 mg

Available: 2 mg/mL

Calculation:

Volume = 0.5 mg / 2 mg/mL

Volume = 0.25 mL

Answer: 0.25 mL

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The nurse is preparing the client for discharge. Exhibits Which of the following statements indicate the client understands the discharge teaching? Select the 3 client statements that indicate an understanding of the teaching.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is experiencing a herpes simplex outbreak. Which of the following interventions should the nurse recommend?

Correct Answer is A

Explanation

A nurse is preparing to administer haloperidol 0.5 mg by mouth to an older adult client. The amount available is haloperidol oral concentrate 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

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The nurse is preparing the client for discharge.

Exhibits

Which of the following statements indicate the client understands the discharge teaching?

Select the 3 client statements that indicate an understanding of the teaching.