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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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Correct Answer is D

Explanation

A. Blood urea nitrogen measures kidney function, is not related to thyroid health.
B. Arterial blood gases are used to assess oxygen and carbon dioxide levels in the blood, not related to thyroid health.
C. Prothrombin time is a test used to assess blood clotting, not related to thyroid health.
D. Correct. Monitoring thyroid stimulating hormone (TSH. levels is crucial for assessing the function of the thyroid gland and adjusting levothyroxine dosage as needed.

A. "Take an antacid if the medication causes gastrointestinal upset." B. "Restrict your daily fluid intake while taking this medication." C. "This medication can increase your risk for sunburn." D. "Expect to experience diarrhea while taking this medication."

Correct Answer is C

Explanation

Ciprofloxacin is a fluoroquinolone antibiotic that can make the skin more sensitive to sunlight, leading to an increased risk of sunburn. It is important for the client to be aware of this potential side effect and take appropriate precautions, such as using sunscreen, wearing protective clothing, and avoiding prolonged sun exposure while taking the medication.

"Take an antacid if the medication causes gastrointestinal upset." Ciprofloxacin should not be taken with antacids or mineral supplements containing calcium, magnesium, aluminum, or iron, as they can interfere with the absorption of the medication. If the client experiences gastrointestinal upset, they should consult their healthcare provider for appropriate management.

"Restrict your daily fluid intake while taking this medication." It is important for the client to maintain adequate hydration while taking ciprofloxacin, as it is important for the elimination of the medication from the body. Restricting fluid intake can lead to dehydration and may affect the effectiveness of the medication. The client should be encouraged to drink plenty of fluids unless otherwise instructed by their healthcare provider.

"Expect to experience diarrhea while taking this medication." While gastrointestinal side effects such as diarrhea can occur with ciprofloxacin, it is not appropriate to state that the client should expect to experience it. Diarrhea can be a sign of a serious adverse reaction, such as Clostridium difficile infection, and should be reported to the healthcare provider for further evaluation and management.

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Explanation

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Correct Answer is C

Explanation

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