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The nurse is preparing the client for discharge. Provider Prescriptions:

Ethambutol 1,200 mg PO daily Rifampin 600 mg PO daily Isoniazid 300 mg PO daily Pyrazinamide 1,600 mg PO daily

Acetaminophen 650 mg PO three times daily every 6 hr PRN for fever greater than 38°C (100.4°F).

Discharge prescriptions, 0800:

Ethambutol 1,200 mg PO daily Rifampin 600 mg PO daily Isoniazid 300 mg PO daily Pyrazinamide 1,600 mg PO daily

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

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

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

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

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

"I am no longer contagious."

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

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

"I can continue my current alcohol intake."

Answer and Explanation

Correct Answer : B,C,E

B: A repeat Mantoux test is commonly performed to monitor the effectiveness of tuberculosis treatment. It's important for the client to understand the need for follow-up testing.
C: Interactions between tuberculosis medications and other medications can occur. The client's understanding of the importance of notifying the provider about new medications helps ensure their safety and treatment effectiveness.
E: Tuberculosis treatment typically involves a combination of medications taken for a specific duration. Understanding the duration of treatment is important for the client's compliance and successful outcome.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Correct. For a client with a pre-pregnancy BMI of 30.5 (considered obese., an acceptable weight gain during pregnancy is typically around 1120 pounds (59 kg., making 16 pounds an appropriate option within this range.
B. Incorrect. A weight gain of 32 pounds would be considered excessive for a client with a pre-pregnancy BMI of 30.5.
C. Incorrect. A weight gain of 24 pounds might still fall within an acceptable range, but for a client with a pre-pregnancy BMI of 30.5, a weight gain of 16 pounds is a more appropriate option.
D. Incorrect. A weight gain of 8 pounds would likely be insufficient for a client with a pre-pregnancy BMI of 30.5.

A. Place a pulse oximeter on the client's finger. B. Administer oxygen to the client. C. Check the client's pulse rate. D. Establish a patent airway for the client.

Correct Answer is D

Explanation

A. While monitoring oxygen saturation is important, ensuring an open airway takes priority.
B. Administering oxygen is important, but ensuring an open airway is the initial priority.
C. Checking the pulse rate is important, but ensuring an open airway is the initial priority.
D. Correct. Establishing a patent airway is the most critical action for a client with compromised breathing and cyanosis.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The nurse should include which of the following is an acceptable weight gain for this client?

Correct Answer is A

Explanation

A nurse is caring for a client who is cyanotic and has a respiratory rate of 8/min with shallow respirations. Which of the following is the priority action by the nurse?

Correct Answer is D

Explanation

A nurse is applying a belt restraint to a client who has become physically aggressive. Which of the following actions should the nurse take?

A nurse is collecting data from a client during a routine prenatal visit. The client is in their second trimester of pregnancy and reports feeling dizzy, has a racing heart, and becomes pale while lying on their back. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is postpartum about the measles, mumps, and rubella (MMR) vaccine. Which of the following instructions should the nurse include in the teaching?

A community health nurse is assisting with the development of a pamphlet regarding choking hazards for toddlers. Which of the following foods should the nurse include?

A nurse is helping to place a client into the prone position. The nurse should use a small pillow to relieve pressure from which of the following areas of the client's body?

A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?

A nurse in an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve clients' sleep. Which of the following instructions should the nurse include?

A nurse is collecting data from a client during a routine prenatal visit. The client is in their second trimester of pregnancy and reports feeling dizzy, has a racing heart, and becomes pale while lying on their back. Which of the following actions should the nurse take?